Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $8,511.38 / $12,882.50	Facility		$2,398.83	$8,511.38	$12,882.50
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	52	$2,884.03	$2,884.03	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,888.44 / $30,199.52	Facility		$2,137.96	$5,888.44	$30,199.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,819.70	Facility		$1,548.82	$1,548.82	$1,819.70
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 $3,890.45 / $6,918.31 / $11,220.18	Facility		$3,890.45	$6,918.31	$11,220.18