Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,413.10 / $12,022.64	Facility		$2,951.21	$7,413.10	$12,022.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,079.46 / $22,908.68	Facility		$3,235.94	$7,079.46	$22,908.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $3,090.30	Facility		$2,630.27	$2,630.27	$3,090.30
Cigna 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
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 / $8,912.51	Facility		$100.00	$100.00	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,760.83 / $11,220.18	Facility		$3,235.94	$6,760.83	$11,220.18