Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,630.27 / $10,715.19	Facility		$416.87	$2,630.27	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,511.89 / $7,244.36	Facility		$954.99	$2,511.89	$7,244.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $234.42 / $794.33	Facility		$208.93	$234.42	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $457.09 / $1,318.26	Facility		$309.03	$457.09	$1,318.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $457.09 / $2,951.21	Facility		$380.19	$457.09	$2,951.21
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,479.11	Facility		$100.00	$100.00	$1,479.11
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