Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,238.72 / $10,715.19	Facility		$616.60	$2,238.72	$10,715.19
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,981.07 / $3,981.07 / $36,307.81	Facility	50	$3,981.07	$3,981.07	$36,307.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,715.35 / $15,135.61	Facility		$1,548.82	$3,715.35	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $645.65 / $741.31	Facility		$616.60	$645.65	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $691.83 / $21,379.62	Facility		$537.03	$691.83	$21,379.62
Medical Mutual of Ohio 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
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $4,786.30	Facility		$100.00	$100.00	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,754.40 / $9,120.11	Facility		$2,884.03	$5,754.40	$9,120.11