Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.92 / $6,582.00 / $11,627.00	Facility		$1,635.92	$6,582.00	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,794.51 / $17,502.61 / $31,141.30	Facility		$6,794.51	$17,502.61	$31,141.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.52 / $1,768.93 / $2,575.81	Facility		$1,621.52	$1,768.93	$2,575.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,060.39 / $2,060.39 / $2,060.39	Facility		$2,060.39	$2,060.39	$2,060.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00