Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $8,912.51 / $11,748.98	Facility		$2,818.38	$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 $2,398.83 / $2,454.71 / $3,162.28	Facility		$2,398.83	$2,454.71	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,949.84 / $4,365.16	Facility		$34.67	$1,949.84	$4,365.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,202.26 / $4,365.16	Facility		$524.81	$1,202.26	$4,365.16
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