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 / $963.00 / $1,623.00	Facility		$675.00	$963.00	$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 $1,739.00 / $1,739.00 / $1,739.00	Facility		$1,739.00	$1,739.00	$1,739.00
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $1,027.00 / $1,697.00	Facility		$850.00	$1,027.00	$1,697.00