Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $1,055.00 / $2,000.00	Facility		$250.00	$1,055.00	$2,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $318.75 / $475.00	Professional		$250.00	$318.75	$475.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $513.00 / $1,565.00 / $2,898.00	Facility		$513.00	$1,565.00	$2,898.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.01 / $486.40 / $622.00	Professional		$311.01	$486.40	$622.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.48 / $700.00 / $933.74	Facility		$450.48	$700.00	$933.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,164.08 / $1,164.08 / $1,164.08	Professional		$1,164.08	$1,164.08	$1,164.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $450.48 / $450.48 / $700.00	Facility		$450.48	$450.48	$700.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00