Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $5,370.32 / $11,748.98	Facility		$794.33	$5,370.32	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $660.69	Facility		$562.34	$562.34	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $933.25 / $21,379.62	Facility		$645.65	$933.25	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $21,379.62	Facility		$1,659.59	$1,659.59	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,981.07	Facility		$100.00	$100.00	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $6,025.60 / $9,120.11	Facility		$2,818.38	$6,025.60	$9,120.11