Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.43 / $6,423.00 / $16,433.34	Facility		$1,894.43	$6,423.00	$16,433.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,405.00 / $41,878.69 / $76,926.81	Facility		$3,405.00	$41,878.69	$76,926.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,457.51 / $1,749.01 / $2,186.27	Facility		$1,457.51	$1,749.01	$2,186.27
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 $1,738.20 / $1,738.20 / $3,401.30	Facility		$1,738.20	$1,738.20	$3,401.30
Medical Mutual of Ohio Facility/Professional Facility Modifier 62 Low / Median / High Price $1,073.02 / $1,073.02 / $1,073.02	Facility	62	$1,073.02	$1,073.02	$1,073.02
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $171.68 / $171.68 / $171.68	Facility	AS	$171.68	$171.68	$171.68
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,529.00 / $15,869.00	Facility		$4,873.00	$10,529.00	$15,869.00