Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,760.83 / $13,803.84	Facility		$2,398.83	$6,760.83	$13,803.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,888.44 / $30,199.52	Facility		$2,137.96	$5,888.44	$30,199.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,819.70	Facility		$1,548.82	$1,548.82	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $21,379.62	Facility		$1,737.80	$2,454.71	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $21,379.62	Facility		$6,606.93	$6,606.93	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $33,113.11	Facility		$100.00	$100.00	$33,113.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $12,022.64 / $20,417.38	Facility		$5,370.32	$12,022.64	$20,417.38