Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $8,912.51 / $11,748.98	Facility		$2,398.83	$8,912.51	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $9,549.93 / $21,379.62	Facility		$2,238.72	$9,549.93	$21,379.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $2,691.53	Facility		$1,584.89	$2,187.76	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,715.35 / $3,715.35	Facility		$34.67	$3,715.35	$3,715.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $3,715.35 / $21,379.62	Facility		$426.58	$3,715.35	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,691.53 / $6,760.83	Facility		$575.44	$2,691.53	$6,760.83