Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.08 / $1,200.00 / $2,000.00	Facility		$342.08	$1,200.00	$2,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $342.08 / $475.00	Professional		$318.75	$342.08	$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 $473.51 / $709.27 / $907.00	Professional		$473.51	$709.27	$907.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $720.94 / $750.00 / $1,236.33	Facility		$720.94	$750.00	$1,236.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,761.84 / $1,761.84 / $1,761.84	Professional		$1,761.84	$1,761.84	$1,761.84
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 $1,761.84 / $1,761.84 / $1,761.84	Professional		$1,761.84	$1,761.84	$1,761.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00