Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,425.86 / $5,530.96 / $6,743.89	Facility		$2,425.86	$5,530.96	$6,743.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,425.86 / $2,425.86 / $4,183.20	Professional		$2,425.86	$2,425.86	$4,183.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $1,197.03 / $1,995.05	Facility		$0.03	$1,197.03	$1,995.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $4,536.00 / $6,930.00	Professional		$3,570.00	$4,536.00	$6,930.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $798.02 / $3,384.12 / $3,384.12	Facility		$798.02	$3,384.12	$3,384.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Professional		$3,384.12	$3,384.12	$3,384.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $798.02 / $798.02 / $798.02	Facility		$798.02	$798.02	$798.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Professional		$3,384.12	$3,384.12	$3,384.12
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 $4,200.00 / $4,200.00 / $5,212.20	Professional		$4,200.00	$4,200.00	$5,212.20