Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $9,765.00 / $13,770.00	Facility		$3,600.00	$9,765.00	$13,770.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $8,208.00	Professional		$3,600.00	$3,600.00	$8,208.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,146.34 / $7,241.58 / $11,400.00	Facility		$4,146.34	$7,241.58	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $4,262.24 / $6,850.04	Professional		$3,600.00	$4,262.24	$6,850.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Facility		$3,825.00	$3,825.00	$3,825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $4,500.00	Professional		$3,825.00	$3,825.00	$4,500.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $4,500.00	Professional		$3,825.00	$3,825.00	$4,500.00
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 $3,750.00 / $3,750.00 / $4,882.50	Professional		$3,750.00	$3,750.00	$4,882.50