Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,248.07 / $12,022.64	Facility		$912.01	$5,248.07	$12,022.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $15,135.61	Facility		$1,698.24	$3,388.44	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $758.58	Facility		$645.65	$645.65	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,096.48 / $21,379.62	Facility		$707.95	$1,096.48	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $21,379.62	Facility		$2,511.89	$2,511.89	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,981.07	Facility		$100.00	$100.00	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $5,248.07	Facility		$1,778.28	$2,691.53	$5,248.07