Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $8,912.51 / $14,791.08	Facility		$1,122.02	$8,912.51	$14,791.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,079.46 / $22,908.68	Facility		$3,090.30	$7,079.46	$22,908.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $912.01	Facility		$758.58	$758.58	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,258.93 / $21,379.62	Facility		$831.76	$1,258.93	$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 $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38