Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $6,918.31 / $11,748.98	Facility		$575.44	$6,918.31	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $7,943.28	Facility		$1,000.00	$3,019.95	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $323.59 / $1,737.80	Facility		$288.40	$323.59	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $602.56 / $2,511.89	Facility		$346.74	$602.56	$2,511.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,041.74 / $7,079.46	Facility		$512.86	$2,041.74	$7,079.46
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $4,073.80	Facility		$100.00	$100.00	$4,073.80
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