Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,567.00 / $10,635.00	Facility		$1,000.00	$2,567.00	$10,635.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,567.00 / $3,813.25 / $6,694.64	Facility		$1,567.00	$3,813.25	$6,694.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $652.92 / $837.98 / $1,112.96	Facility		$652.92	$837.98	$1,112.96
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 $830.32 / $830.32 / $830.32	Facility		$830.32	$830.32	$830.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00