Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,754.40 / $11,481.54	Facility		$891.25	$5,754.40	$11,481.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $15,135.61	Facility		$1,698.24	$3,890.45	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $676.08	Facility		$575.44	$575.44	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $933.25 / $21,379.62	Facility		$660.69	$933.25	$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 / $3,981.07	Facility		$100.00	$100.00	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $9,332.54 / $13,803.84	Facility		$4,073.80	$9,332.54	$13,803.84