Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.10 / $1,055.00 / $2,000.00	Facility		$266.10	$1,055.00	$2,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.10 / $318.75 / $475.00	Professional		$266.10	$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 $310.76 / $486.01 / $621.50	Professional		$310.76	$486.01	$621.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.48 / $700.00 / $1,141.99	Facility		$450.48	$700.00	$1,141.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,317.63 / $1,317.63 / $1,317.63	Professional		$1,317.63	$1,317.63	$1,317.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $450.48 / $450.48 / $700.00	Facility		$450.48	$450.48	$700.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00