Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $8,912.51 / $11,748.98	Facility		$1,230.27	$8,912.51	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,128.61 / $14,125.38	Facility		$1,698.24	$5,128.61	$14,125.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,380.38	Facility		$1,047.13	$1,096.48	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,905.46 / $1,905.46	Facility		$34.67	$1,905.46	$1,905.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,905.46 / $21,379.62	Facility		$426.58	$1,905.46	$21,379.62
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 $1,288.25 / $7,585.78 / $13,489.63	Facility		$1,288.25	$7,585.78	$13,489.63