Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,754.40 / $10,964.78	Facility		$1,621.81	$5,754.40	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $16,982.44	Facility		$2,238.72	$3,548.13	$16,982.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $2,630.27	Facility		$1,071.52	$1,071.52	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,137.96 / $21,379.62	Facility		$1,949.84	$2,137.96	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,137.96 / $21,379.62	Facility		$1,949.84	$2,137.96	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,148.15 / $5,128.61	Facility		$100.00	$1,148.15	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,265.80 / $7,413.10	Facility		$1,995.26	$4,265.80	$7,413.10