Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,715.35 / $10,715.19	Facility		$1,318.26	$3,715.35	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $16,982.44	Facility		$1,995.26	$3,548.13	$16,982.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $691.83 / $776.25	Facility		$645.65	$691.83	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $870.96 / $21,379.62	Facility		$575.44	$870.96	$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