Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $5,248.07 / $12,302.69	Facility		$954.99	$5,248.07	$12,302.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,715.35 / $7,943.28 / $12,302.69	Facility	50	$3,715.35	$7,943.28	$12,302.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,715.35 / $15,135.61	Facility		$1,698.24	$3,715.35	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $707.95 / $812.83	Facility		$676.08	$707.95	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $870.96 / $21,379.62	Facility		$588.84	$870.96	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,168.69 / $21,379.62	Facility		$3,890.45	$4,168.69	$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