Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,888.44 / $10,964.78	Facility		$831.76	$5,888.44	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $21,877.62	Facility		$2,570.40	$4,570.88	$21,877.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $446.68 / $524.81	Facility		$436.52	$446.68	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $562.34 / $21,379.62	Facility		$371.54	$562.34	$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 / $7,413.10	Facility		$100.00	$100.00	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,606.93 / $10,964.78	Facility		$3,890.45	$6,606.93	$10,964.78