Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,691.53 / $10,715.19	Facility		$295.12	$2,691.53	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,754.23 / $7,943.28	Facility		$1,000.00	$2,754.23	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $223.87	Facility		$190.55	$190.55	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $309.03 / $21,379.62	Facility		$218.78	$309.03	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,862.09 / $21,379.62	Facility		$1,819.70	$1,862.09	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,995.26	Facility		$100.00	$100.00	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $5,248.07	Facility		$1,698.24	$2,691.53	$5,248.07