Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,715.35 / $10,715.19	Facility		$1,071.52	$3,715.35	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,128.61 / $21,877.62	Facility		$1,995.26	$5,128.61	$21,877.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $691.83 / $812.83	Facility		$676.08	$691.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $758.58 / $21,379.62	Facility		$575.44	$758.58	$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 / $7,413.10	Facility		$100.00	$100.00	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38