Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $10,232.93 / $15,848.93	Facility		$2,238.72	$10,232.93	$15,848.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $7,585.78 / $21,379.62	Facility		$2,238.72	$7,585.78	$21,379.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,905.46 / $2,187.76	Facility		$1,819.70	$1,905.46	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,090.30 / $21,379.62	Facility		$1,621.81	$3,090.30	$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 $2,951.21 / $6,025.60 / $8,511.38	Facility		$2,951.21	$6,025.60	$8,511.38