Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,485.50 / $6,341.60 / $16,305.00	Facility		$1,485.50	$6,341.60	$16,305.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $41,878.69 / $76,926.81	Facility		$7,084.00	$41,878.69	$76,926.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,170.42 / $1,276.82 / $1,859.24	Facility		$1,170.42	$1,276.82	$1,859.24
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 $1,486.82 / $1,486.82 / $1,486.82	Facility		$1,486.82	$1,486.82	$1,486.82
Medical Mutual of Ohio Facility/Professional Facility Modifier 62 Low / Median / High Price $925.06 / $925.06 / $925.06	Facility	62	$925.06	$925.06	$925.06
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $148.01 / $148.01 / $148.01	Facility	AS	$148.01	$148.01	$148.01
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