Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $5,754.40 / $10,964.78	Facility		$371.54	$5,754.40	$10,964.78
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 $263.03 / $281.84 / $316.23	Facility		$263.03	$281.84	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $380.19 / $21,379.62	Facility		$234.42	$380.19	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $21,379.62	Facility		$208.93	$208.93	$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 $2,570.40 / $4,365.16 / $7,413.10	Facility		$2,570.40	$4,365.16	$7,413.10