Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.00 / $1,782.00 / $2,795.00	Facility		$892.00	$1,782.00	$2,795.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $963.00 / $1,623.00	Facility		$675.00	$963.00	$1,623.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $1,091.00 / $1,631.00	Facility		$890.00	$1,091.00	$1,631.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $1,091.00 / $1,631.00	Facility		$890.00	$1,091.00	$1,631.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $769.00 / $1,146.00 / $2,566.00	Facility		$769.00	$1,146.00	$2,566.00
United Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $1,092.00 / $1,726.00	Facility		$778.00	$1,092.00	$1,726.00