Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,570.40 / $10,715.19	Facility		$446.68	$2,570.40	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,951.21 / $16,982.44	Facility		$1,548.82	$2,951.21	$16,982.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $338.84 / $380.19	Facility		$323.59	$338.84	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $11,748.98	Facility		$100.00	$100.00	$11,748.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $5,248.07	Facility		$1,778.28	$2,691.53	$5,248.07