Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $7,413.10 / $13,803.84	Facility		$912.01	$7,413.10	$13,803.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $8,511.38 / $60,255.96	Facility		$3,162.28	$8,511.38	$60,255.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
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 $100.00 / $100.00 / $23,442.29	Facility		$100.00	$100.00	$23,442.29
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $16,982.44 / $28,183.83	Facility		$6,760.83	$16,982.44	$28,183.83