Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.48 / $3,602.00 / $11,581.00	Facility		$604.48	$3,602.00	$11,581.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,544.00 / $30,285.00	Facility		$2,670.00	$5,544.00	$30,285.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $507.71 / $553.86 / $806.50	Facility		$507.71	$553.86	$806.50
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 $650.60 / $650.60 / $650.60	Facility		$650.60	$650.60	$650.60
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $64.05 / $64.05 / $64.05	Facility	AS	$64.05	$64.05	$64.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00