Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,754.40 / $10,715.19	Facility		$891.25	$5,754.40	$10,715.19
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,019.95 / $6,456.54 / $10,232.93	Facility	50	$3,019.95	$6,456.54	$10,232.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,288.25	Facility		$549.54	$549.54	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,047.13 / $21,379.62	Facility		$954.99	$1,047.13	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $4,073.80	Facility		$1,778.28	$2,691.53	$4,073.80
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $562.34 / $2,951.21	Facility		$100.00	$562.34	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,265.80 / $7,244.36	Facility		$1,778.28	$4,265.80	$7,244.36