Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $3,630.78 / $10,715.19	Facility		$309.03	$3,630.78	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $7,943.28	Facility		$1,000.00	$3,019.95	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $181.97 / $208.93	Facility		$173.78	$181.97	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $213.80 / $21,379.62	Facility		$151.36	$213.80	$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 / $3,981.07	Facility		$100.00	$100.00	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,365.16 / $7,413.10	Facility		$2,398.83	$4,365.16	$7,413.10