Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,585.78 / $16,982.44	Facility		$2,137.96	$7,585.78	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,128.61 / $21,877.62	Facility		$2,570.40	$5,128.61	$21,877.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $1,548.82	Facility		$1,288.25	$1,380.38	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $21,379.62	Facility		$1,148.15	$1,778.28	$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 / $13,182.57	Facility		$100.00	$100.00	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38