Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $8,912.51 / $11,748.98	Facility		$371.54	$8,912.51	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,388.44 / $15,135.61	Facility		$954.99	$3,388.44	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $316.23 / $407.38	Facility		$309.03	$316.23	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $562.34 / $1,202.26	Facility		$34.67	$562.34	$1,202.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $562.34 / $21,379.62	Facility		$426.58	$562.34	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,691.53 / $6,760.83	Facility		$575.44	$2,691.53	$6,760.83