Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $6,606.93 / $12,022.64	Facility		$891.25	$6,606.93	$12,022.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $7,943.28	Facility		$1,000.00	$3,019.95	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $562.34 / $1,737.80	Facility		$501.19	$562.34	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $912.01 / $2,290.87	Facility		$691.83	$912.01	$2,290.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $912.01 / $2,454.71	Facility		$691.83	$912.01	$2,454.71
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 $794.33 / $4,168.69 / $7,244.36	Facility		$794.33	$4,168.69	$7,244.36