Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,570.40 / $10,715.19	Facility		$416.87	$2,570.40	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,715.35 / $15,135.61	Facility		$1,548.82	$3,715.35	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $338.84	Facility		$288.40	$288.40	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $21,379.62	Facility		$398.11	$588.84	$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 / $4,265.80	Facility		$100.00	$100.00	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $6,025.60 / $9,332.54	Facility		$2,818.38	$6,025.60	$9,332.54