Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.35 / $1,055.00 / $2,000.00	Facility		$418.35	$1,055.00	$2,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $418.35 / $475.00	Professional		$318.75	$418.35	$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 $310.76 / $486.01 / $621.50	Professional		$310.76	$486.01	$621.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $720.94 / $750.00 / $1,360.46	Facility		$720.94	$750.00	$1,360.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,178.40 / $1,178.40 / $1,178.40	Professional		$1,178.40	$1,178.40	$1,178.40
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
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00