Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,041.74 / $9,120.11	Facility		$398.11	$2,041.74	$9,120.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $891.25 / $2,951.21 / $9,772.37	Facility	50	$891.25	$2,951.21	$9,772.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,137.96 / $2,511.89	Facility		$1,905.46	$2,137.96	$2,511.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $251.19 / $275.42	Facility		$162.18	$251.19	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $5,370.32 / $23,442.29	Facility		$0.14	$5,370.32	$23,442.29
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,023.29 / $3,715.35	Facility		$457.09	$1,023.29	$3,715.35