Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $5,334.50 / $8,519.04	Facility		$3,264.00	$5,334.50	$8,519.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,468.00	Professional		$3,264.00	$3,264.00	$3,468.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,375.66 / $2,284.48 / $7,956.00	Facility		$1,375.66	$2,284.48	$7,956.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.33 / $1,213.32 / $4,148.00	Professional		$933.33	$1,213.32	$4,148.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $4,080.00	Professional		$3,468.00	$3,468.00	$4,080.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $4,114.00	Professional		$3,400.00	$3,400.00	$4,114.00