Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,585.78 / $17,378.01	Facility		$2,630.27	$7,585.78	$17,378.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $22,387.21 / $30,199.52	Facility		$3,235.94	$22,387.21	$30,199.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,659.59	Facility		$1,412.54	$1,412.54	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $21,379.62	Facility		$1,698.24	$2,344.23	$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 / $15,848.93	Facility		$100.00	$100.00	$15,848.93
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $12,589.25 / $22,387.21	Facility		$5,370.32	$12,589.25	$22,387.21