Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,309.57 / $11,748.98	Facility		$1,174.90	$6,309.57	$11,748.98
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,630.27 / $2,630.27 / $3,890.45	Facility	50	$2,630.27	$2,630.27	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $354.81 / $407.38	Facility		$338.84	$354.81	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $426.58 / $21,379.62	Facility		$302.00	$426.58	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $21,379.62	Facility		$3,162.28	$3,162.28	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $4,570.88	Facility		$100.00	$100.00	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $7,413.10	Facility		$2,570.40	$4,365.16	$7,413.10