Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $5,128.61 / $12,589.25	Facility		$1,071.52	$5,128.61	$12,589.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,760.83 / $10,471.29 / $20,417.38	Facility	50	$6,760.83	$10,471.29	$20,417.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,365.16 / $15,135.61	Facility		$1,949.84	$4,365.16	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $794.33 / $891.25	Facility		$741.31	$794.33	$891.25
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 $2,818.38 / $2,818.38 / $21,379.62	Facility		$2,818.38	$2,818.38	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $8,128.31	Facility		$100.00	$100.00	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,754.40 / $9,120.11	Facility		$2,951.21	$5,754.40	$9,120.11