Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,818.38 / $10,715.19	Facility		$316.23	$2,818.38	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,691.53 / $7,943.28	Facility		$954.99	$2,691.53	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $181.97 / $1,096.48	Facility		$162.18	$181.97	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $524.81 / $1,778.28	Facility		$34.67	$524.81	$1,778.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $562.34 / $1,778.28	Facility		$288.40	$562.34	$1,778.28
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,344.23	Facility		$100.00	$100.00	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,398.83 / $5,248.07	Facility		$676.08	$2,398.83	$5,248.07