Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.38 / $220.00 / $2,468.19	Facility		$58.38	$220.00	$2,468.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.89 / $102.89 / $718.00	Professional		$102.89	$102.89	$718.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,844.67 / $2,430.62 / $3,630.31	Professional		$1,844.67	$2,430.62	$3,630.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Facility		$143.26	$143.26	$143.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Professional		$143.26	$143.26	$143.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $93.70 / $104.57 / $381.81	Facility		$93.70	$104.57	$381.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Professional		$143.26	$143.26	$143.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.19 / $2,170.19 / $2,693.22	Professional		$2,170.19	$2,170.19	$2,693.22