Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,754.40 / $10,964.78	Facility		$1,000.00	$5,754.40	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $8,317.64 / $60,255.96	Facility		$2,238.72	$8,317.64	$60,255.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $537.03 / $602.56	Facility		$501.19	$537.03	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $691.83 / $21,379.62	Facility		$446.68	$691.83	$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 / $16,218.10	Facility		$100.00	$100.00	$16,218.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $12,589.25 / $21,379.62	Facility		$5,370.32	$12,589.25	$21,379.62