Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $8,912.51 / $12,589.25	Facility		$2,137.96	$8,912.51	$12,589.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,168.69 / $16,982.44	Facility		$1,905.46	$4,168.69	$16,982.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $3,630.78	Facility		$1,318.26	$1,479.11	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,344.23 / $5,888.44	Facility		$1,096.48	$2,344.23	$5,888.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,344.23 / $5,888.44	Facility		$1,096.48	$2,344.23	$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