Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.12 / $1,067.83 / $1,651.19	Facility		$609.12	$1,067.83	$1,651.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.90 / $695.90 / $739.40	Professional		$695.90	$695.90	$739.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,087.34 / $1,696.27 / $4,711.85	Facility		$1,087.34	$1,696.27	$4,711.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $179.08 / $724.90	Professional		$148.00	$179.08	$724.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Facility		$739.40	$739.40	$739.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $739.40 / $869.88	Professional		$739.40	$739.40	$869.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $978.27 / $978.27 / $978.27	Facility		$978.27	$978.27	$978.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $739.40 / $869.88	Professional		$739.40	$739.40	$869.88
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 $57.20 / $85.80 / $448.23	Professional		$57.20	$85.80	$448.23