Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,188.00 / $3,222.45 / $4,945.05	Facility		$1,188.00	$3,222.45	$4,945.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.00 / $1,188.00 / $1,262.25	Professional		$1,188.00	$1,188.00	$1,262.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,311.75 / $2,073.88 / $3,279.38	Facility		$1,311.75	$2,073.88	$3,279.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,311.75 / $1,311.75 / $2,081.09	Professional		$1,311.75	$1,311.75	$2,081.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,262.25 / $1,262.25 / $1,262.25	Facility		$1,262.25	$1,262.25	$1,262.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.25 / $1,262.25 / $1,885.95	Professional		$1,262.25	$1,262.25	$1,885.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,262.25 / $1,262.25 / $1,262.25	Professional		$1,262.25	$1,262.25	$1,262.25