Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $7,585.78 / $13,803.84	Facility		$2,511.89	$7,585.78	$13,803.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,165.95 / $22,908.68	Facility		$3,235.94	$6,165.95	$22,908.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,905.46	Facility		$1,621.81	$1,621.81	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $21,379.62	Facility		$1,862.09	$2,630.27	$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 / $21,379.62	Facility		$100.00	$100.00	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $11,748.98 / $16,982.44	Facility		$5,370.32	$11,748.98	$16,982.44