Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.32 / $3,885.38 / $12,096.23	Facility		$363.32	$3,885.38	$12,096.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,151.00 / $4,724.00 / $5,534.00	Facility		$3,151.00	$4,724.00	$5,534.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.57 / $314.81 / $458.39	Facility		$288.57	$314.81	$458.39
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 $368.90 / $368.90 / $368.90	Facility		$368.90	$368.90	$368.90
Medical Mutual of Ohio Facility/Professional Facility Modifier 62 Low / Median / High Price $225.79 / $225.79 / $225.79	Facility	62	$225.79	$225.79	$225.79
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $36.13 / $36.13 / $36.13	Facility	AS	$36.13	$36.13	$36.13
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