Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,422.08 / $6,251.00 / $10,635.00	Facility		$1,422.08	$6,251.00	$10,635.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $779.40 / $935.28 / $1,157.60	Facility		$779.40	$935.28	$1,157.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,012.51 / $6,495.03 / $24,162.30	Facility		$4,012.51	$6,495.03	$24,162.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00