Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $6,025.60 / $10,964.78	Facility		$741.31	$6,025.60	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,090.30 / $7,943.28	Facility		$1,000.00	$3,090.30	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $398.11 / $446.68	Facility		$371.54	$398.11	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $478.63 / $21,379.62	Facility		$331.13	$478.63	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $21,379.62	Facility		$10,715.19	$10,715.19	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $4,365.16	Facility		$100.00	$100.00	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,754.40 / $8,511.38	Facility		$2,818.38	$5,754.40	$8,511.38