Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,951.21 / $10,715.19	Facility		$912.01	$2,951.21	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,025.60 / $22,908.68	Facility		$1,995.26	$6,025.60	$22,908.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $794.33 / $912.01	Facility		$660.69	$794.33	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,122.02 / $21,379.62	Facility		$741.31	$1,122.02	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,630.78 / $7,943.28	Facility		$2,290.87	$3,630.78	$7,943.28
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