Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,754.40 / $10,964.78	Facility		$891.25	$5,754.40	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $660.69 / $758.58	Facility		$630.96	$660.69	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,047.13 / $21,379.62	Facility		$549.54	$1,047.13	$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 / $3,548.13	Facility		$100.00	$100.00	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $7,244.36	Facility		$2,238.72	$4,365.16	$7,244.36