Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,309.57 / $12,022.64	Facility		$1,659.59	$6,309.57	$12,022.64
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 $933.25 / $1,000.00 / $1,122.02	Facility		$933.25	$1,000.00	$1,122.02
Cigna 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
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 $2,951.21 / $5,754.40 / $9,120.11	Facility		$2,951.21	$5,754.40	$9,120.11