Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $8,912.51 / $12,302.69	Facility		$467.74	$8,912.51	$12,302.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,801.89	Facility		$1,905.46	$2,238.72	$3,801.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $245.47 / $281.84	Facility		$234.42	$245.47	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $323.59 / $21,379.62	Facility		$208.93	$323.59	$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 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95