Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $2,630.27 / $10,715.19	Facility		$43.65	$2,630.27	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $3,981.07	Facility		$707.95	$1,995.26	$3,981.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $22.39 / $812.83	Facility		$20.42	$22.39	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $37.15 / $602.56	Facility		$34.67	$37.15	$602.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $457.09 / $602.56	Facility		$37.15	$457.09	$602.56
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $851.14 / $2,818.38	Facility		$134.90	$851.14	$2,818.38