Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,818.38 / $10,715.19	Facility		$436.52	$2,818.38	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $8,511.38 / $60,255.96	Facility		$3,162.28	$8,511.38	$60,255.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $354.81	Facility		$302.00	$302.00	$354.81
Cigna 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
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 / $13,803.84	Facility		$100.00	$100.00	$13,803.84
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $11,748.98 / $21,379.62	Facility		$5,370.32	$11,748.98	$21,379.62