Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $8,912.51 / $11,748.98	Facility		$1,412.54	$8,912.51	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $9,549.93 / $21,877.62	Facility		$2,511.89	$9,549.93	$21,877.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,348.96 / $1,548.82	Facility		$1,288.25	$1,348.96	$1,548.82
Cigna 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
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 $1,737.80 / $2,570.40 / $5,248.07	Facility		$1,737.80	$2,570.40	$5,248.07