Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $7,079.46 / $12,022.64	Facility		$1,659.59	$7,079.46	$12,022.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,715.35 / $15,135.61	Facility		$1,698.24	$3,715.35	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,148.15	Facility		$977.24	$977.24	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $21,379.62	Facility		$1,122.02	$1,584.89	$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