Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $630.96 / $1,148.15	Facility		$295.12	$630.96	$1,148.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $281.84	Facility		$154.88	$154.88	$281.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $562.34 / $1,737.80	Facility		$407.38	$562.34	$1,737.80
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $954.99 / $2,951.21	Facility		$436.52	$954.99	$2,951.21