Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $5,888.44 / $10,964.78	Facility		$616.60	$5,888.44	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,570.88 / $16,982.44	Facility		$2,238.72	$4,570.88	$16,982.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $346.74 / $389.05	Facility		$323.59	$346.74	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $371.54 / $21,379.62	Facility		$295.12	$371.54	$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 / $6,165.95	Facility		$100.00	$100.00	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,606.93 / $10,964.78	Facility		$3,715.35	$6,606.93	$10,964.78