Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,135.00 / $11,581.00	Facility		$1,000.00	$5,135.00	$11,581.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $6,003.00 / $30,285.00	Facility		$2,670.00	$6,003.00	$30,285.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $751.93 / $965.04 / $1,281.69	Facility		$751.93	$965.04	$1,281.69
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 $964.93 / $964.93 / $964.93	Facility		$964.93	$964.93	$964.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00