Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,715.35 / $10,715.19	Facility		$1,412.54	$3,715.35	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $7,943.28	Facility		$1,000.00	$3,019.95	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,513.56	Facility		$1,071.52	$1,071.52	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $21,379.62	Facility		$1,122.02	$1,258.93	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $21,379.62	Facility		$1,122.02	$1,258.93	$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 / $5,754.40 / $8,511.38	Facility		$1,737.80	$5,754.40	$8,511.38