Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,585.78 / $13,803.84	Facility		$2,818.38	$7,585.78	$13,803.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,413.10 / $22,908.68	Facility		$3,235.94	$7,413.10	$22,908.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,754.23	Facility		$2,344.23	$2,344.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,801.89 / $21,379.62	Facility		$2,818.38	$3,801.89	$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