Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $2,570.40 / $10,715.19	Facility		$102.33	$2,570.40	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $67.61 / $75.86	Facility		$63.10	$67.61	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $109.65 / $21,379.62	Facility		$57.54	$109.65	$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 / $776.25	Facility		$100.00	$100.00	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $4,073.80	Facility		$954.99	$1,862.09	$4,073.80