Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,128.61 / $10,964.78	Facility		$933.25	$5,128.61	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,370.32 / $22,908.68	Facility		$2,238.72	$5,370.32	$22,908.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $812.83	Facility		$691.83	$691.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,096.48 / $21,379.62	Facility		$831.76	$1,096.48	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$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 $2,570.40 / $4,570.88 / $7,413.10	Facility		$2,570.40	$4,570.88	$7,413.10