Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,630.27 / $7,585.78	Facility		$1,288.25	$2,630.27	$7,585.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $3,548.13	Facility		$2,570.40	$3,388.44	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $21,379.62	Facility		$2,137.96	$2,290.87	$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 $1,479.11 / $2,951.21 / $6,760.83	Facility		$1,479.11	$2,951.21	$6,760.83