Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $7,079.46 / $12,022.64	Facility		$1,905.46	$7,079.46	$12,022.64
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 $1,288.25 / $1,288.25 / $4,168.69	Facility		$1,288.25	$1,288.25	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,388.44 / $21,379.62	Facility		$3,090.30	$3,388.44	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,388.44 / $21,379.62	Facility		$3,090.30	$3,388.44	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,862.09 / $6,456.54	Facility		$100.00	$1,862.09	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $6,606.93 / $10,964.78	Facility		$2,884.03	$6,606.93	$10,964.78