Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,918.31 / $13,803.84	Facility		$1,174.90	$6,918.31	$13,803.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $9,120.11 / $67,608.30	Facility		$3,162.28	$9,120.11	$67,608.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $977.24	Facility		$831.76	$831.76	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $21,379.62	Facility		$933.25	$1,288.25	$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 / $23,988.33	Facility		$100.00	$100.00	$23,988.33
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $12,589.25 / $21,379.62	Facility		$5,370.32	$12,589.25	$21,379.62