Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $4,677.35 / $10,715.19	Facility		$316.23	$4,677.35	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $15,135.61	Facility		$1,698.24	$3,388.44	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $177.83	Facility		$151.36	$151.36	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $281.84 / $21,379.62	Facility		$169.82	$281.84	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $21,379.62	Facility		$3,467.37	$3,467.37	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,548.13	Facility		$100.00	$100.00	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $5,248.07	Facility		$1,778.28	$2,691.53	$5,248.07