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 $2,238.72 / $6,456.54 / $15,135.61	Facility		$2,238.72	$6,456.54	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $1,584.89	Facility		$1,288.25	$1,318.26	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $21,379.62	Facility		$1,071.52	$1,479.11	$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