Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,585.78 / $15,848.93	Facility		$2,187.76	$7,585.78	$15,848.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $8,128.31 / $30,199.52	Facility		$2,137.96	$8,128.31	$30,199.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,445.44	Facility		$1,230.27	$1,230.27	$1,445.44
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 / $15,848.93	Facility		$100.00	$100.00	$15,848.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $8,912.51 / $14,791.08	Facility		$3,630.78	$8,912.51	$14,791.08