Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $8,912.51 / $11,748.98	Facility		$1,148.15	$8,912.51	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $9,772.37 / $23,442.29	Facility		$2,511.89	$9,772.37	$23,442.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,096.48 / $1,288.25	Facility		$1,071.52	$1,096.48	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $21,379.62	Facility		$891.25	$1,230.27	$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