Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $7,079.46 / $12,022.64	Facility		$891.25	$7,079.46	$12,022.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $16,982.44	Facility		$2,238.72	$3,548.13	$16,982.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $467.74 / $524.81	Facility		$436.52	$467.74	$524.81
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 / $6,606.93	Facility		$100.00	$100.00	$6,606.93
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