Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $5,201.00 / $11,627.00	Facility		$1,165.00	$5,201.00	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $6,934.00 / $30,285.00	Facility		$2,777.00	$6,934.00	$30,285.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $804.91 / $1,033.04 / $1,372.01	Facility		$804.91	$1,033.04	$1,372.01
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 $1,030.51 / $1,030.51 / $1,030.51	Facility		$1,030.51	$1,030.51	$1,030.51
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