Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $7,585.78 / $16,982.44	Facility		$2,398.83	$7,585.78	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $8,128.31 / $36,307.81	Facility		$2,137.96	$8,128.31	$36,307.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,348.96	Facility		$1,148.15	$1,148.15	$1,348.96
Cigna 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
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 / $15,848.93	Facility		$100.00	$100.00	$15,848.93
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $11,481.54 / $16,595.87	Facility		$5,370.32	$11,481.54	$16,595.87