Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $6,918.31 / $12,022.64	Facility		$794.33	$6,918.31	$12,022.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,897.79 / $21,877.62	Facility		$2,570.40	$4,897.79	$21,877.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $436.52 / $489.78	Facility		$407.38	$436.52	$489.78
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 $13,182.57 / $13,182.57 / $13,182.57	Facility		$13,182.57	$13,182.57	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38