Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $5,128.61 / $11,748.98	Facility		$1,071.52	$5,128.61	$11,748.98
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 $630.96 / $630.96 / $741.31	Facility		$630.96	$630.96	$741.31
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 $1,380.38 / $2,570.40 / $21,379.62	Facility		$1,380.38	$2,570.40	$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