Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,818.38 / $10,715.19	Facility		$467.74	$2,818.38	$10,715.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $275.42	Facility		$234.42	$234.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $21,379.62	Facility		$380.19	$380.19	$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 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95