Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.64 / $2,547.00 / $10,268.00	Facility		$320.64	$2,547.00	$10,268.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,114.00 / $8,800.00	Facility		$918.00	$2,114.00	$8,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.44 / $218.93 / $270.97	Facility		$182.44	$218.93	$270.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.03 / $1,042.24 / $1,758.30	Facility		$217.03	$1,042.24	$1,758.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $1,042.24 / $1,309.85	Facility		$530.00	$1,042.24	$1,309.85
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00