Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,715.35 / $10,715.19	Facility		$891.25	$3,715.35	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,370.32 / $22,908.68	Facility		$1,995.26	$5,370.32	$22,908.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $676.08	Facility		$575.44	$575.44	$676.08
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 / $8,912.51	Facility		$100.00	$100.00	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $7,413.10	Facility		$2,570.40	$4,570.88	$7,413.10