Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.07 / $1,055.00 / $2,000.00	Facility		$237.07	$1,055.00	$2,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.07 / $318.75 / $475.00	Professional		$237.07	$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 $453.51 / $709.27 / $907.00	Professional		$453.51	$709.27	$907.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.62 / $349.71 / $750.00	Facility		$133.62	$349.71	$750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.64 / $889.64 / $889.64	Professional		$889.64	$889.64	$889.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $349.71 / $349.71 / $750.00	Facility		$349.71	$349.71	$750.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00