Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,698.24 / $10,000.00	Facility		$275.42	$1,698.24	$10,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,778.28 / $3,981.07	Facility		$707.95	$1,778.28	$3,981.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $165.96 / $812.83	Facility		$147.91	$165.96	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $398.11 / $1,318.26	Facility		$263.03	$398.11	$1,318.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $398.11 / $1,000.00	Facility		$263.03	$398.11	$1,000.00
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $162.18	Facility		$100.00	$100.00	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $851.14 / $2,818.38	Facility		$123.03	$851.14	$2,818.38