Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $2,165.04 / $8,553.00	Facility		$828.00	$2,165.04	$8,553.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $2,786.00 / $3,264.00	Facility		$1,121.00	$2,786.00	$3,264.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $718.03 / $861.64 / $1,077.05	Facility		$718.03	$861.64	$1,077.05
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 $858.77 / $3,931.66 / $7,581.94	Facility		$858.77	$3,931.66	$7,581.94
Medical Mutual of Ohio Facility/Professional Facility Modifier 62 Low / Median / High Price $526.61 / $526.61 / $526.61	Facility	62	$526.61	$526.61	$526.61
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $84.26 / $84.26 / $84.26	Facility	AS	$84.26	$84.26	$84.26
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00