Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $6,309.57 / $10,964.78	Facility		$812.83	$6,309.57	$10,964.78
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 $478.63 / $501.19 / $562.34	Facility		$478.63	$501.19	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $575.44 / $21,379.62	Facility		$426.58	$575.44	$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