Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.50 / $1,967.00 / $9,362.29	Facility		$512.50	$1,967.00	$9,362.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,629.00 / $5,693.00 / $6,669.00	Facility		$1,629.00	$5,693.00	$6,669.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $378.04 / $453.65 / $567.05	Facility		$378.04	$453.65	$567.05
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 $962.60 / $3,119.09 / $4,821.93	Facility		$962.60	$3,119.09	$4,821.93
Medical Mutual of Ohio Facility/Professional Facility Modifier 62 Low / Median / High Price $276.13 / $276.13 / $276.13	Facility	62	$276.13	$276.13	$276.13
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $44.18 / $44.18 / $44.18	Facility	AS	$44.18	$44.18	$44.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00