Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,511.89 / $10,715.19	Facility		$489.78	$2,511.89	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,691.53 / $7,943.28	Facility		$954.99	$2,691.53	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $154.88 / $1,096.48	Facility		$138.04	$154.88	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $457.09 / $1,412.54	Facility		$123.03	$457.09	$1,412.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $575.44 / $5,011.87	Facility		$245.47	$575.44	$5,011.87
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,344.23	Facility		$100.00	$100.00	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,398.83 / $5,248.07	Facility		$676.08	$2,398.83	$5,248.07