Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $7,585.78 / $13,803.84	Facility		$1,122.02	$7,585.78	$13,803.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $851.14	Facility		$724.44	$724.44	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,148.15 / $21,379.62	Facility		$794.33	$1,148.15	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $27,542.29	Facility		$21,379.62	$21,379.62	$27,542.29
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $8,912.51	Facility		$100.00	$100.00	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38