Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $8,912.51 / $12,302.69	Facility		$1,230.27	$8,912.51	$12,302.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,019.95 / $7,943.28	Facility		$1,348.96	$3,019.95	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,288.25	Facility		$812.83	$812.83	$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 $954.99 / $1,047.13 / $21,379.62	Facility		$954.99	$1,047.13	$21,379.62
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