Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.00 / $5,355.00 / $10,817.74	Facility		$1,610.00	$5,355.00	$10,817.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,189.41 / $1,297.54 / $1,889.39	Facility		$1,189.41	$1,297.54	$1,889.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,522.73 / $1,522.73 / $1,522.73	Facility		$1,522.73	$1,522.73	$1,522.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00