Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $6,309.57 / $12,022.64	Facility		$1,148.15	$6,309.57	$12,022.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,370.32 / $22,908.68	Facility		$2,754.23	$5,370.32	$22,908.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $870.96	Facility		$741.31	$741.31	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,230.27 / $21,379.62	Facility		$851.14	$1,230.27	$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 $2,951.21 / $6,025.60 / $9,332.54	Facility		$2,951.21	$6,025.60	$9,332.54