Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,585.78 / $13,803.84	Facility		$2,089.30	$7,585.78	$13,803.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,715.35 / $15,135.61	Facility		$1,698.24	$3,715.35	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,584.89	Facility		$1,348.96	$1,348.96	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $21,379.62	Facility		$1,513.56	$2,137.96	$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 / $16,595.87	Facility		$5,370.32	$11,748.98	$16,595.87