Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,585.78 / $13,803.84	Facility		$2,187.76	$7,585.78	$13,803.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,025.60 / $30,199.52	Facility		$2,187.76	$6,025.60	$30,199.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,288.25 / $1,445.44	Facility		$1,202.26	$1,288.25	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $21,379.62	Facility		$1,071.52	$1,659.59	$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