Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $7,079.46 / $16,218.10	Facility		$2,511.89	$7,079.46	$16,218.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,413.10 / $30,199.52	Facility		$2,137.96	$7,413.10	$30,199.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,884.03	Facility		$1,737.80	$2,238.72	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $21,379.62	Facility		$2,884.03	$2,884.03	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,265.80 / $21,379.62	Facility		$1,862.09	$4,265.80	$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 $4,897.79 / $14,791.08 / $22,387.21	Facility		$4,897.79	$14,791.08	$22,387.21