Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $5,623.41 / $11,481.54	Facility		$794.33	$5,623.41	$11,481.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,677.35 / $21,877.62	Facility		$1,412.54	$4,677.35	$21,877.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $245.47 / $5,128.61	Facility		$218.78	$245.47	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $524.81 / $8,317.64	Facility		$34.67	$524.81	$8,317.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $562.34 / $8,317.64	Facility		$398.11	$562.34	$8,317.64
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,413.10	Facility		$100.00	$100.00	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $8,128.31 / $14,125.38	Facility		$1,288.25	$8,128.31	$14,125.38