Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.28 / $1,184.00 / $2,000.00	Facility		$397.28	$1,184.00	$2,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $397.28 / $475.00	Professional		$318.75	$397.28	$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 $720.94 / $750.00 / $975.64	Facility		$720.94	$750.00	$975.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,338.15 / $1,338.15 / $1,338.15	Professional		$1,338.15	$1,338.15	$1,338.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $720.94 / $720.94 / $750.00	Facility		$720.94	$720.94	$750.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,338.15 / $1,338.15 / $1,338.15	Professional		$1,338.15	$1,338.15	$1,338.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00