Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.82 / $834.55 / $106,520.00	Facility		$292.82	$834.55	$106,520.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.82 / $292.82 / $303.80	Professional		$292.82	$292.82	$303.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.42 / $553.62 / $909.76	Facility		$329.42	$553.62	$909.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.50 / $292.82 / $477.08	Professional		$237.50	$292.82	$477.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.25 / $311.13 / $311.13	Facility		$296.25	$311.13	$311.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.13 / $311.13 / $311.13	Professional		$311.13	$311.13	$311.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $255.24 / $296.25 / $908.49	Facility		$255.24	$296.25	$908.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $311.13 / $311.13 / $366.03	Professional		$311.13	$311.13	$366.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.02 / $305.02 / $397.14	Professional		$305.02	$305.02	$397.14