Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,251.00 / $11,581.00	Facility		$2,264.00	$6,251.00	$11,581.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,967.00 / $14,996.00	Facility		$1,760.00	$3,967.00	$14,996.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,994.14 / $2,517.02 / $3,079.64	Facility		$1,994.14	$2,517.02	$3,079.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,469.12 / $1,638.24 / $21,571.00	Facility		$1,469.12	$1,638.24	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,469.12 / $1,469.12 / $1,638.24	Facility		$1,469.12	$1,469.12	$1,638.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,513.00 / $7,853.00	Facility		$2,155.00	$5,513.00	$7,853.00