Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,912.51 / $11,748.98	Facility		$3,548.13	$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 $3,090.30 / $3,162.28 / $3,981.07	Facility		$3,090.30	$3,162.28	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $5,495.41 / $5,495.41	Facility		$34.67	$5,495.41	$5,495.41
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility	62	$3,467.37	$3,467.37	$3,467.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $5,495.41 / $21,379.62	Facility		$426.58	$5,495.41	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier 62 Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility	62	$3,467.37	$3,467.37	$3,467.37
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