Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $4,073.80 / $10,715.19	Facility		$812.83	$4,073.80	$10,715.19
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 / $524.81	Facility		$436.52	$436.52	$524.81
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 $2,951.21 / $4,570.88 / $21,379.62	Facility		$2,951.21	$4,570.88	$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 / $9,332.54	Facility		$2,818.38	$6,025.60	$9,332.54