Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,019.95 / $10,715.19	Facility		$630.96	$3,019.95	$10,715.19
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 / $346.74 / $5,011.87	Facility		$309.03	$346.74	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $562.34 / $8,128.31	Facility		$34.67	$562.34	$8,128.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $8,128.31	Facility		$562.34	$562.34	$8,128.31
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,943.28	Facility		$100.00	$100.00	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,128.61 / $9,120.11	Facility		$933.25	$5,128.61	$9,120.11