Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,511.89 / $10,715.19	Facility		$138.04	$2,511.89	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,949.84 / $3,890.45	Facility		$707.95	$1,949.84	$3,890.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $107.15 / $165.96	Facility		$97.72	$107.15	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $181.97 / $1,318.26	Facility		$128.82	$181.97	$1,318.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $263.03 / $602.56	Facility		$177.83	$263.03	$602.56
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $851.14 / $2,818.38	Facility		$134.90	$851.14	$2,818.38