Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $6,456.54 / $10,964.78	Facility		$954.99	$6,456.54	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $16,982.44	Facility		$2,238.72	$4,365.16	$16,982.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $831.76	Facility		$707.95	$707.95	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $21,379.62	Facility		$707.95	$1,047.13	$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 / $4,168.69	Facility		$100.00	$100.00	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,760.83 / $10,471.29	Facility		$3,890.45	$6,760.83	$10,471.29