Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,165.04 / $6,903.55 / $16,395.00	Facility		$2,165.04	$6,903.55	$16,395.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,732.71 / $2,079.25 / $2,599.07	Facility		$1,732.71	$2,079.25	$2,599.07
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 $2,059.71 / $2,433.46 / $5,889.44	Facility		$2,059.71	$2,433.46	$5,889.44
Medical Mutual of Ohio Facility/Professional Facility Modifier 62 Low / Median / High Price $1,274.33 / $1,274.33 / $1,274.33	Facility	62	$1,274.33	$1,274.33	$1,274.33
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $203.90 / $203.90 / $203.90	Facility	AS	$203.90	$203.90	$203.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,524.00 / $11,766.00 / $20,348.00	Facility		$4,524.00	$11,766.00	$20,348.00