Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.27 / $1,967.00 / $9,504.00	Facility		$301.27	$1,967.00	$9,504.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,742.00 / $8,800.00	Facility		$1,152.00	$2,742.00	$8,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.40 / $208.43 / $276.83	Facility		$162.40	$208.43	$276.83
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 $312.73 / $312.73 / $312.73	Facility		$312.73	$312.73	$312.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00