Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,754.40 / $17,378.01	Facility		$1,445.44	$5,754.40	$17,378.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,025.60 / $22,908.68	Facility		$2,238.72	$6,025.60	$22,908.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $977.24	Facility		$831.76	$831.76	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,380.38 / $21,379.62	Facility		$954.99	$1,380.38	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $21,379.62	Facility		$3,801.89	$3,801.89	$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