Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,630.78 / $10,715.19	Facility		$575.44	$3,630.78	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,187.76 / $7,943.28	Facility		$954.99	$2,187.76	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $316.23 / $794.33	Facility		$281.84	$316.23	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $524.81 / $1,659.59	Facility		$457.09	$524.81	$1,659.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $602.56 / $1,288.25	Facility		$512.86	$602.56	$1,288.25
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 / $2,290.87 / $4,897.79	Facility		$676.08	$2,290.87	$4,897.79