Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $7,585.78 / $11,748.98	Facility		$457.09	$7,585.78	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,025.60 / $15,135.61	Facility		$1,698.24	$6,025.60	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $446.68 / $1,096.48	Facility		$398.11	$446.68	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $575.44 / $1,202.26	Facility		$34.67	$575.44	$1,202.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $707.95 / $1,202.26	Facility		$524.81	$707.95	$1,202.26
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 $794.33 / $4,168.69 / $6,606.93	Facility		$794.33	$4,168.69	$6,606.93