Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $5,888.44 / $11,748.98	Facility		$407.38	$5,888.44	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,715.35 / $16,982.44	Facility		$2,238.72	$3,715.35	$16,982.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
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 $7,079.46 / $9,549.93 / $21,379.62	Facility		$7,079.46	$9,549.93	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $6,760.83	Facility		$100.00	$100.00	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $9,332.54 / $13,803.84	Facility		$4,073.80	$9,332.54	$13,803.84