Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,819.70 / $8,912.51	Facility		$295.12	$1,819.70	$8,912.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $95.50 / $107.15	Facility		$89.13	$95.50	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $954.99 / $21,379.62	Facility		$81.28	$954.99	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,348.96 / $6,025.60	Facility		$389.05	$1,348.96	$6,025.60
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95