Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $7,413.10 / $16,218.10	Facility		$2,238.72	$7,413.10	$16,218.10
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 $676.08 / $812.83 / $954.99	Facility		$676.08	$812.83	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $831.76 / $21,379.62	Facility		$602.56	$831.76	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $7,413.10 / $16,982.44	Facility		$3,467.37	$7,413.10	$16,982.44
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