Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,413.10 / $11,748.98	Facility		$2,137.96	$7,413.10	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,288.25	Facility		$1,096.48	$1,096.48	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $21,379.62	Facility		$1,288.25	$1,778.28	$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