Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $9,332.54 / $17,378.01	Facility		$2,041.74	$9,332.54	$17,378.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $20,417.38 / $22,908.68	Facility		$1,122.02	$20,417.38	$22,908.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $19,498.45 / $20,892.96	Facility		$9,120.11	$19,498.45	$20,892.96
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Facility		$14,125.38	$14,125.38	$14,125.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $9,332.54 / $14,791.08	Facility		$4,073.80	$9,332.54	$14,791.08