Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $3,019.95 / $10,715.19	Facility		$501.19	$3,019.95	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,715.35 / $16,982.44	Facility		$954.99	$3,715.35	$16,982.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $389.05 / $3,630.78	Facility		$346.74	$389.05	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $616.60 / $4,073.80	Facility		$407.38	$616.60	$4,073.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $616.60 / $4,466.84	Facility		$512.86	$616.60	$4,466.84
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 $794.33 / $4,168.69 / $7,413.10	Facility		$794.33	$4,168.69	$7,413.10