Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.47 / $580.19 / $707.43	Facility		$254.47	$580.19	$707.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.47 / $254.47 / $662.85	Professional		$254.47	$254.47	$662.85
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 $575.28 / $730.94 / $1,201.10	Professional		$575.28	$730.94	$1,201.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.29 / $358.29 / $358.29	Facility		$358.29	$358.29	$358.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.29 / $358.29 / $358.29	Professional		$358.29	$358.29	$358.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $358.29 / $358.29 / $358.29	Professional		$358.29	$358.29	$358.29
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 $676.80 / $676.80 / $881.19	Professional		$676.80	$676.80	$881.19