Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,818.38 / $10,715.19	Facility		$165.96	$2,818.38	$10,715.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $724.44 / $1,096.48	Facility		$107.15	$724.44	$1,096.48
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 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $912.01 / $2,951.21	Facility		$223.87	$912.01	$2,951.21