Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $3,715.35 / $10,715.19	Facility		$316.23	$3,715.35	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,388.44 / $15,135.61	Facility		$954.99	$3,388.44	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $208.93 / $1,096.48	Facility		$186.21	$208.93	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $562.34 / $1,778.28	Facility		$34.67	$562.34	$1,778.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $575.44 / $1,778.28	Facility		$331.13	$575.44	$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