Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $6,456.54 / $11,748.98	Facility		$977.24	$6,456.54	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,413.10 / $30,199.52	Facility		$2,137.96	$7,413.10	$30,199.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $21,379.62	Facility		$416.87	$416.87	$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 / $12,882.50	Facility		$100.00	$100.00	$12,882.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $15,488.17 / $30,199.52	Facility		$5,623.41	$15,488.17	$30,199.52