Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.02 / $5,201.00 / $11,627.00	Facility		$977.02	$5,201.00	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $16,655.00 / $29,882.70	Facility		$3,315.00	$16,655.00	$29,882.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $599.89 / $654.41 / $952.94	Facility		$599.89	$654.41	$952.94
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 $767.20 / $767.20 / $767.20	Facility		$767.20	$767.20	$767.20
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $75.27 / $75.27 / $75.27	Facility	AS	$75.27	$75.27	$75.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00