Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,715.35 / $10,715.19	Facility		$1,479.11	$3,715.35	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $15,135.61	Facility		$1,698.24	$3,388.44	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,995.26	Facility		$1,288.25	$1,288.25	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $21,379.62	Facility		$1,479.11	$1,621.81	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $21,379.62	Facility		$1,479.11	$1,621.81	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $891.25 / $4,786.30	Facility		$100.00	$891.25	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,754.40 / $9,120.11	Facility		$2,137.96	$5,754.40	$9,120.11