Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.58 / $4,799.00 / $11,581.00	Facility		$734.58	$4,799.00	$11,581.00
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 $506.64 / $650.23 / $863.60	Facility		$506.64	$650.23	$863.60
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 $975.22 / $975.22 / $975.22	Facility		$975.22	$975.22	$975.22
United Facility/Professional Facility Modifier Low / Median / High Price $4,534.00 / $6,730.00 / $12,871.00	Facility		$4,534.00	$6,730.00	$12,871.00