Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,818.38 / $10,715.19	Facility		$457.09	$2,818.38	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,388.44 / $16,982.44	Facility		$1,548.82	$3,388.44	$16,982.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $302.00 / $338.84	Facility		$281.84	$302.00	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $371.54 / $21,379.62	Facility		$245.47	$371.54	$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