Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $8,912.51 / $11,748.98	Facility		$776.25	$8,912.51	$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 $676.08 / $676.08 / $794.33	Facility		$676.08	$676.08	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,122.02 / $21,379.62	Facility		$851.14	$1,122.02	$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 / $3,981.07	Facility		$100.00	$100.00	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $13,803.84	Facility		$4,265.80	$9,332.54	$13,803.84