Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.61 / $1,055.00 / $2,000.00	Facility		$218.61	$1,055.00	$2,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.61 / $370.50 / $475.00	Professional		$218.61	$370.50	$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 $8.01 / $8.01 / $8.41	Professional		$8.01	$8.01	$8.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $450.48 / $700.00	Facility		$64.00	$450.48	$700.00
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