Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $8,912.51 / $11,748.98	Facility		$1,318.26	$8,912.51	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,606.93 / $15,135.61	Facility		$2,238.72	$6,606.93	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $1,479.11	Facility		$1,230.27	$1,258.93	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $21,379.62	Facility		$1,023.29	$1,380.38	$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