Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,995.26 / $10,232.93	Facility		$138.04	$1,995.26	$10,232.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,187.76 / $3,890.45	Facility		$707.95	$2,187.76	$3,890.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $77.62 / $630.96	Facility		$69.18	$77.62	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $457.09 / $1,318.26	Facility		$123.03	$457.09	$1,318.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $457.09 / $1,659.59	Facility		$123.03	$457.09	$1,659.59
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,122.02	Facility		$100.00	$100.00	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,398.83 / $4,897.79	Facility		$676.08	$2,398.83	$4,897.79