Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,818.38 / $11,748.98	Facility		$794.33	$2,818.38	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,370.32 / $22,908.68	Facility		$1,548.82	$5,370.32	$22,908.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $707.95	Facility		$602.56	$602.56	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $977.24 / $21,379.62	Facility		$660.69	$977.24	$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