Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $7,413.10 / $13,803.84	Facility		$1,230.27	$7,413.10	$13,803.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,244.36 / $22,908.68	Facility		$3,090.30	$7,244.36	$22,908.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $851.14	Facility		$724.44	$724.44	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,174.90 / $21,379.62	Facility		$794.33	$1,174.90	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $21,379.62	Facility		$3,090.30	$4,570.88	$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 $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38