Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $8,912.51 / $11,748.98	Facility		$1,380.38	$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 / $1,318.26 / $1,548.82	Facility		$1,288.25	$1,318.26	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $21,379.62	Facility		$1,122.02	$1,621.81	$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 / $3,090.30 / $6,760.83	Facility		$1,479.11	$3,090.30	$6,760.83