Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $8,912.51 / $11,748.98	Facility		$1,737.80	$8,912.51	$11,748.98
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 $1,479.11 / $1,513.56 / $1,905.46	Facility		$1,479.11	$1,513.56	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,630.27 / $2,630.27	Facility		$34.67	$2,630.27	$2,630.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,630.27 / $21,379.62	Facility		$426.58	$2,630.27	$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