Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,888.44 / $10,964.78	Facility		$1,621.81	$5,888.44	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $30,199.52	Facility		$2,137.96	$5,248.07	$30,199.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,288.25	Facility		$1,096.48	$1,096.48	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $21,379.62	Facility		$1,148.15	$1,778.28	$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 / $15,848.93	Facility		$100.00	$100.00	$15,848.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,165.95 / $9,332.54	Facility		$2,951.21	$6,165.95	$9,332.54