Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,743.10 / $4,749.13 / $7,159.49	Facility		$2,743.10	$4,749.13	$7,159.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,743.10 / $2,743.10 / $3,272.86	Professional		$2,743.10	$2,743.10	$3,272.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,370.19 / $3,891.06 / $7,066.68	Facility		$2,370.19	$3,891.06	$7,066.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $2,265.60 / $3,731.71	Professional		$165.00	$2,265.60	$3,731.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Facility		$2,914.55	$2,914.55	$2,914.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $3,428.88	Professional		$2,914.55	$2,914.55	$3,428.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,340.19 / $2,340.19 / $3,830.59	Facility		$2,340.19	$2,340.19	$3,830.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $4,367.25	Professional		$2,914.55	$2,914.55	$4,367.25
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 $2,857.40 / $2,857.40 / $3,743.19	Professional		$2,857.40	$2,857.40	$3,743.19