Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.33 / $1,902.00 / $8,553.00	Facility		$382.33	$1,902.00	$8,553.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,114.00 / $8,800.00	Facility		$918.00	$2,114.00	$8,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.47 / $303.51 / $455.27	Facility		$233.47	$303.51	$455.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $581.00 / $1,287.90	Facility		$400.00	$581.00	$1,287.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $600.00 / $2,163.15	Facility		$400.00	$600.00	$2,163.15
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00