Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $2,187.76 / $8,912.51	Facility		$162.18	$2,187.76	$8,912.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,754.23 / $7,943.28	Facility		$1,000.00	$2,754.23	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $21,379.62	Facility		$79.43	$79.43	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $21,379.62	Facility		$2,187.76	$2,187.76	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,949.84	Facility		$100.00	$100.00	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $4,073.80	Facility		$1,096.48	$1,862.09	$4,073.80