Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.00 / $4,724.47 / $13,100.00	Facility		$1,125.00	$4,724.47	$13,100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $600.00 / $1,600.00	Facility		$300.00	$600.00	$1,600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.00 / $1,288.00 / $2,047.00	Facility		$680.00	$1,288.00	$2,047.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $680.00 / $1,288.00 / $2,047.00	Facility		$680.00	$1,288.00	$2,047.00
Molina Facility/Professional Facility Modifier Low / Median / High Price $8,928.64 / $19,560.96 / $57,338.07	Facility		$8,928.64	$19,560.96	$57,338.07
United Facility/Professional Facility Modifier Low / Median / High Price $395.00 / $480.00 / $1,471.00	Facility		$395.00	$480.00	$1,471.00