Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $5,201.00 / $11,627.00	Facility		$1,145.00	$5,201.00	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,674.00 / $6,669.00 / $30,285.00	Facility		$2,674.00	$6,669.00	$30,285.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $705.71 / $905.71 / $1,202.90	Facility		$705.71	$905.71	$1,202.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $903.92 / $903.92 / $903.92	Facility		$903.92	$903.92	$903.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00