Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $3,630.78 / $10,715.19	Facility		$380.19	$3,630.78	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,630.27 / $7,244.36	Facility		$954.99	$2,630.27	$7,244.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $257.04 / $1,096.48	Facility		$229.09	$257.04	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $616.60 / $1,659.59	Facility		$407.38	$616.60	$1,659.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $602.56 / $1,778.28	Facility		$407.38	$602.56	$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