Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,800.55 / $2,714.40	Facility		$1,040.00	$1,800.55	$2,714.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,105.00	Professional		$1,040.00	$1,040.00	$1,105.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $1,214.27 / $2,023.78	Facility		$0.03	$1,214.27	$2,023.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $1,157.01 / $2,717.12	Professional		$0.02	$1,157.01	$2,717.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Facility		$1,066.90	$1,066.90	$1,066.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Professional		$1,066.90	$1,066.90	$1,066.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Professional		$1,066.90	$1,066.90	$1,066.90
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 $1,235.00 / $1,235.00 / $1,607.97	Professional		$1,235.00	$1,235.00	$1,607.97