Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $2,630.27 / $10,715.19	Facility		$112.20	$2,630.27	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $21,379.62	Facility		$48.98	$48.98	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $21,379.62	Facility		$275.42	$275.42	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $549.54	Facility		$100.00	$100.00	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $954.99 / $2,951.21	Facility		$316.23	$954.99	$2,951.21