Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,715.35 / $11,481.54	Facility		$1,412.54	$3,715.35	$11,481.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,918.31 / $15,135.61	Facility		$2,238.72	$6,918.31	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $831.76 / $933.25	Facility		$776.25	$831.76	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,047.13 / $21,379.62	Facility		$691.83	$1,047.13	$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 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,570.40 / $5,248.07	Facility		$977.24	$2,570.40	$5,248.07