Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.62 / $5,201.00 / $11,627.00	Facility		$1,380.62	$5,201.00	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $4,142.00 / $19,117.00	Facility		$2,009.00	$4,142.00	$19,117.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,114.24 / $1,366.02 / $3,302.55	Facility		$1,114.24	$1,366.02	$3,302.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.04 / $2,433.05 / $21,571.00	Facility		$1,037.04	$2,433.05	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $2,433.05 / $2,713.14	Facility		$74.45	$2,433.05	$2,713.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,072.00 / $6,522.00	Facility		$1,981.00	$4,072.00	$6,522.00