Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,585.78 / $13,803.84	Facility		$2,187.76	$7,585.78	$13,803.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,456.54 / $15,135.61	Facility		$1,698.24	$6,456.54	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,230.27 / $1,548.82	Facility		$1,202.26	$1,230.27	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,137.96 / $2,137.96	Facility		$34.67	$2,137.96	$2,137.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,137.96 / $21,379.62	Facility		$426.58	$2,137.96	$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