Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,888.44 / $11,481.54	Facility		$1,202.26	$5,888.44	$11,481.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,981.07 / $16,982.44	Facility		$954.99	$3,981.07	$16,982.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $676.08 / $3,630.78	Facility		$588.84	$676.08	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,071.52 / $4,466.84	Facility		$562.34	$1,071.52	$4,466.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,071.52 / $5,888.44	Facility		$575.44	$1,071.52	$5,888.44
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,244.36	Facility		$100.00	$100.00	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,456.54 / $10,964.78	Facility		$1,047.13	$6,456.54	$10,964.78