Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $5,128.61 / $10,964.78	Facility		$389.05	$5,128.61	$10,964.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility	50	$7,413.10	$7,413.10	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $7,943.28	Facility		$1,000.00	$3,019.95	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $204.17 / $229.09	Facility		$190.55	$204.17	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $851.14 / $21,379.62	Facility		$169.82	$851.14	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $21,379.62	Facility		$2,511.89	$2,511.89	$21,379.62
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 $2,818.38 / $5,754.40 / $8,511.38	Facility		$2,818.38	$5,754.40	$8,511.38