Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,454.71 / $9,549.93	Facility		$645.65	$2,454.71	$9,549.93
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 $398.11 / $457.09 / $1,737.80	Facility		$398.11	$457.09	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $724.44 / $2,818.38	Facility		$380.19	$724.44	$2,818.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $724.44 / $2,818.38	Facility		$380.19	$724.44	$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 $794.33 / $4,168.69 / $7,244.36	Facility		$794.33	$4,168.69	$7,244.36