Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.00 / $1,782.00 / $3,405.00	Facility		$857.00	$1,782.00	$3,405.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $957.00 / $1,623.00	Facility		$675.00	$957.00	$1,623.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $820.00 / $1,025.00 / $1,631.00	Facility		$820.00	$1,025.00	$1,631.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $820.00 / $1,025.00 / $1,631.00	Facility		$820.00	$1,025.00	$1,631.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $851.00 / $1,181.00 / $2,624.00	Facility		$851.00	$1,181.00	$2,624.00
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $1,040.00 / $1,973.00	Facility		$850.00	$1,040.00	$1,973.00