Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $2,570.40 / $10,715.19	Facility		$125.89	$2,570.40	$10,715.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $61.66 / $21,379.62	Facility		$31.62	$61.66	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $61.66 / $21,379.62	Facility		$34.67	$61.66	$21,379.62
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 $316.23 / $954.99 / $3,019.95	Facility		$316.23	$954.99	$3,019.95