Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $8,912.51 / $11,748.98	Facility		$354.81	$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 / $331.13 / $398.11	Facility		$309.03	$331.13	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $549.54 / $1,202.26	Facility		$34.67	$549.54	$1,202.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $549.54 / $1,202.26	Facility		$524.81	$549.54	$1,202.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $4,365.16	Facility		$100.00	$100.00	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,128.61 / $8,511.38	Facility		$933.25	$5,128.61	$8,511.38