Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $4,723.00 / $11,581.00	Facility		$950.00	$4,723.00	$11,581.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $3,555.00 / $19,117.00	Facility		$1,755.00	$3,555.00	$19,117.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $595.29 / $773.89 / $1,160.83	Facility		$595.29	$773.89	$1,160.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.00 / $4,048.28 / $5,935.99	Facility		$581.00	$4,048.28	$5,935.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $581.00 / $4,048.28 / $4,422.06	Facility		$581.00	$4,048.28	$4,422.06
United Facility/Professional Facility Modifier Low / Median / High Price $932.00 / $6,392.00 / $10,075.00	Facility		$932.00	$6,392.00	$10,075.00