Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $7,079.46 / $15,488.17	Facility		$1,230.27	$7,079.46	$15,488.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,244.36 / $30,199.52	Facility		$2,137.96	$7,244.36	$30,199.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,000.00	Facility		$851.14	$851.14	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,412.54 / $21,379.62	Facility		$977.24	$1,412.54	$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 $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38