Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.83 / $5,135.00 / $11,627.00	Facility		$1,104.83	$5,135.00	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,674.00 / $6,565.00 / $30,285.00	Facility		$2,674.00	$6,565.00	$30,285.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $670.88 / $861.02 / $1,143.56	Facility		$670.88	$861.02	$1,143.56
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 $879.48 / $879.48 / $879.48	Facility		$879.48	$879.48	$879.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00