Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $6,456.54 / $12,022.64	Facility		$1,905.46	$6,456.54	$12,022.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,019.95 / $7,943.28	Facility		$1,071.52	$3,019.95	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,513.56	Facility		$1,288.25	$1,288.25	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $21,379.62	Facility		$1,122.02	$1,122.02	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $6,456.54 / $21,379.62	Facility		$1,122.02	$6,456.54	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $645.65 / $2,818.38	Facility		$100.00	$645.65	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,265.80 / $7,244.36	Facility		$1,737.80	$4,265.80	$7,244.36