Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,715.35 / $10,715.19	Facility		$407.38	$3,715.35	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,073.80 / $15,135.61	Facility		$1,949.84	$4,073.80	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $223.87 / $251.19	Facility		$208.93	$223.87	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $281.84 / $21,379.62	Facility		$190.55	$281.84	$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