Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $8,912.51 / $12,302.69	Facility		$2,691.53	$8,912.51	$12,302.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,309.57 / $15,135.61	Facility		$1,698.24	$6,309.57	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,445.44 / $1,862.09	Facility		$1,412.54	$1,445.44	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,230.27 / $2,570.40	Facility		$34.67	$1,230.27	$2,570.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,202.26 / $2,570.40	Facility		$524.81	$1,202.26	$2,570.40
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