Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,838.37 / $6,092.79 / $17,014.00	Facility		$2,838.37	$6,092.79	$17,014.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,134.00 / $9,287.00 / $36,529.00	Facility		$2,134.00	$9,287.00	$36,529.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,628.95 / $1,954.74 / $2,443.42	Facility		$1,628.95	$1,954.74	$2,443.42
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 $2,169.19 / $3,900.05 / $8,501.79	Facility		$2,169.19	$3,900.05	$8,501.79
Medical Mutual of Ohio Facility/Professional Facility Modifier 62 Low / Median / High Price $1,200.02 / $1,200.02 / $1,200.02	Facility	62	$1,200.02	$1,200.02	$1,200.02
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $192.00 / $192.00 / $192.00	Facility	AS	$192.00	$192.00	$192.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,676.00	Facility		$4,070.00	$8,440.00	$13,676.00