Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,135.00 / $10,817.74	Facility		$1,000.00	$5,135.00	$10,817.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $664.38 / $724.78 / $1,055.35	Facility		$664.38	$724.78	$1,055.35
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 $863.08 / $863.08 / $863.08	Facility		$863.08	$863.08	$863.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,904.00 / $5,920.00 / $9,245.00	Facility		$2,904.00	$5,920.00	$9,245.00