Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.91 / $4,723.00 / $11,627.00	Facility		$922.91	$4,723.00	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.00 / $7,614.00 / $14,960.03	Facility		$2,785.00	$7,614.00	$14,960.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $881.38 / $1,057.66 / $1,309.08	Facility		$881.38	$1,057.66	$1,309.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,070.95 / $21,571.00	Facility		$425.00	$1,070.95	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,200.00	Facility		$425.00	$600.00	$1,200.00
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $2,883.00 / $6,111.00	Facility		$650.00	$2,883.00	$6,111.00