Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $10,715.19	Facility		$1,000.00	$2,818.38	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,548.13 / $16,982.44	Facility		$1,548.82	$3,548.13	$16,982.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $645.65 / $724.44	Facility		$602.56	$645.65	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $831.76 / $21,379.62	Facility		$537.03	$831.76	$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 $4,073.80 / $9,332.54 / $13,803.84	Facility		$4,073.80	$9,332.54	$13,803.84