Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,350.05 / $7,968.90 / $11,581.00	Facility		$2,350.05	$7,968.90	$11,581.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,920.00 / $17,502.61 / $31,141.30	Facility		$5,920.00	$17,502.61	$31,141.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,139.13 / $2,333.59 / $3,398.04	Facility		$2,139.13	$2,333.59	$3,398.04
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 $2,733.97 / $2,733.97 / $2,733.97	Facility		$2,733.97	$2,733.97	$2,733.97
Medical Mutual of Ohio Facility/Professional Facility Modifier 62 Low / Median / High Price $1,688.18 / $1,688.18 / $1,688.18	Facility	62	$1,688.18	$1,688.18	$1,688.18
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $270.11 / $270.11 / $270.11	Facility	AS	$270.11	$270.11	$270.11
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