Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $4,265.80 / $10,964.78	Facility		$407.38	$4,265.80	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $7,943.28	Facility		$1,000.00	$2,818.38	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $257.04	Facility		$218.78	$218.78	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $416.87 / $21,379.62	Facility		$239.88	$416.87	$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 / $4,466.84 / $7,413.10	Facility		$2,238.72	$4,466.84	$7,413.10