Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $4,168.69 / $10,715.19	Facility		$575.44	$4,168.69	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,630.78 / $15,135.61	Facility		$1,698.24	$3,630.78	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $478.63	Facility		$407.38	$407.38	$478.63
Cigna 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
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $21,379.62	Facility		$6,918.31	$6,918.31	$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 $2,818.38 / $6,025.60 / $9,120.11	Facility		$2,818.38	$6,025.60	$9,120.11