Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.56 / $4,299.56 / $9,828.00	Facility		$390.56	$4,299.56	$9,828.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.00 / $3,025.00 / $8,800.00	Facility		$1,191.00	$3,025.00	$8,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $293.00 / $351.60 / $435.19	Facility		$293.00	$351.60	$435.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,065.00 / $3,170.59 / $5,746.41	Facility		$2,065.00	$3,170.59	$5,746.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00