Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.64 / $1,348.13 / $3,667.88	Facility		$333.64	$1,348.13	$3,667.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $400.04 / $475.00	Professional		$318.75	$400.04	$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 $597.51 / $918.67 / $1,195.00	Professional		$597.51	$918.67	$1,195.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $720.94 / $750.00 / $1,379.52	Facility		$720.94	$750.00	$1,379.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,940.81 / $1,940.81 / $1,940.81	Professional		$1,940.81	$1,940.81	$1,940.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $446.52 / $1,109.26 / $2,787.82	Facility		$446.52	$1,109.26	$2,787.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,940.81 / $1,940.81 / $1,940.81	Professional		$1,940.81	$1,940.81	$1,940.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00