Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $5,370.32 / $12,022.64	Facility		$676.08	$5,370.32	$12,022.64
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 $436.52 / $436.52 / $512.86	Facility		$436.52	$436.52	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $724.44 / $21,379.62	Facility		$524.81	$724.44	$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 $2,818.38 / $6,025.60 / $9,120.11	Facility		$2,818.38	$6,025.60	$9,120.11