Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,949.84 / $10,715.19	Facility		$141.25	$1,949.84	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $107.15	Facility		$91.20	$91.20	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $147.91 / $21,379.62	Facility		$95.50	$147.91	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $21,379.62	Facility		$891.25	$891.25	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $302.00	Facility		$100.00	$100.00	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21