Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,715.35 / $10,715.19	Facility		$1,318.26	$3,715.35	$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 $812.83 / $891.25 / $2,137.96	Facility		$812.83	$891.25	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,445.44 / $2,570.40	Facility		$512.86	$1,445.44	$2,570.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,445.44 / $2,570.40	Facility		$512.86	$1,445.44	$2,570.40
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