Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,888.44 / $10,964.78	Facility		$1,778.28	$5,888.44	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,621.81	Facility		$1,380.38	$1,380.38	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $21,379.62	Facility		$2,238.72	$2,238.72	$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 / $3,548.13	Facility		$100.00	$100.00	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,466.84 / $7,413.10	Facility		$2,238.72	$4,466.84	$7,413.10