Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $11,280.00 / $12,528.00	Facility		$4,800.00	$11,280.00	$12,528.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $5,100.00	Professional		$4,800.00	$4,800.00	$5,100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,227.98 / $3,699.88 / $11,700.00	Facility		$2,227.98	$3,699.88	$11,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,700.00 / $6,365.00 / $9,977.50	Professional		$5,700.00	$6,365.00	$9,977.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Facility		$5,100.00	$5,100.00	$5,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $6,000.00	Professional		$5,100.00	$5,100.00	$6,000.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $6,000.00	Professional		$5,100.00	$5,100.00	$6,000.00
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 $5,000.00 / $5,000.00 / $6,205.00	Professional		$5,000.00	$5,000.00	$6,205.00