Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,511.89 / $10,715.19	Facility		$524.81	$2,511.89	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $7,943.28	Facility		$1,000.00	$2,818.38	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $426.58 / $467.74	Facility		$398.11	$426.58	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $562.34 / $21,379.62	Facility		$346.74	$562.34	$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 / $4,073.80	Facility		$100.00	$100.00	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,365.16 / $7,413.10	Facility		$2,454.71	$4,365.16	$7,413.10