Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $7,079.46 / $11,748.98	Facility		$891.25	$7,079.46	$11,748.98
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $977.24 / $5,248.07 / $16,218.10	Facility	50	$977.24	$5,248.07	$16,218.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,888.44 / $15,135.61	Facility		$1,949.84	$5,888.44	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $562.34	Facility		$467.74	$501.19	$562.34
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 $831.76 / $2,137.96 / $21,379.62	Facility		$831.76	$2,137.96	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $8,709.64	Facility		$100.00	$100.00	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,754.40 / $9,120.11	Facility		$2,951.21	$5,754.40	$9,120.11