Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $6,582.00 / $12,672.00	Facility		$1,775.00	$6,582.00	$12,672.00
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 $1,151.59 / $1,256.29 / $1,829.33	Facility		$1,151.59	$1,256.29	$1,829.33
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 $1,463.39 / $1,463.39 / $1,463.39	Facility		$1,463.39	$1,463.39	$1,463.39
Medical Mutual of Ohio Facility/Professional Facility Modifier 62 Low / Median / High Price $908.75 / $908.75 / $908.75	Facility	62	$908.75	$908.75	$908.75
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $145.40 / $145.40 / $145.40	Facility	AS	$145.40	$145.40	$145.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,529.00 / $15,469.00	Facility		$4,873.00	$10,529.00	$15,469.00