Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,511.89 / $9,120.11	Facility		$512.86	$2,511.89	$9,120.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $7,943.28	Facility		$1,000.00	$2,187.76	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $537.03	Facility		$457.09	$457.09	$537.03
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 $1,023.29 / $1,023.29 / $21,379.62	Facility		$1,023.29	$1,023.29	$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 $478.63 / $1,023.29 / $3,235.94	Facility		$478.63	$1,023.29	$3,235.94