Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $4,677.35 / $10,964.78	Facility		$660.69	$4,677.35	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,168.69 / $15,135.61	Facility		$1,949.84	$4,168.69	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $194.98 / $223.87	Facility		$186.21	$194.98	$223.87
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 $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 / $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