Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $7,943.28 / $12,882.50	Facility		$1,047.13	$7,943.28	$12,882.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,897.79 / $21,877.62	Facility		$2,570.40	$4,897.79	$21,877.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $676.08 / $776.25	Facility		$645.65	$676.08	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $794.33 / $21,379.62	Facility		$575.44	$794.33	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $21,379.62	Facility		$4,897.79	$4,897.79	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,413.10	Facility		$100.00	$100.00	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38