Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,715.35 / $10,715.19	Facility		$912.01	$3,715.35	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,019.95 / $7,943.28	Facility		$954.99	$3,019.95	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $645.65 / $1,737.80	Facility		$562.34	$645.65	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,023.29 / $2,137.96	Facility		$512.86	$1,023.29	$2,137.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,023.29 / $2,818.38	Facility		$512.86	$1,023.29	$2,818.38
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,388.44	Facility		$100.00	$100.00	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,128.61 / $7,943.28	Facility		$933.25	$5,128.61	$7,943.28