Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.50 / $2,445.59 / $10,268.00	Facility		$748.50	$2,445.59	$10,268.00
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 $691.88 / $830.26 / $1,037.82	Facility		$691.88	$830.26	$1,037.82
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 $791.02 / $2,656.50 / $5,066.18	Facility		$791.02	$2,656.50	$5,066.18
Medical Mutual of Ohio Facility/Professional Facility Modifier 62 Low / Median / High Price $506.10 / $506.10 / $506.10	Facility	62	$506.10	$506.10	$506.10
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $80.98 / $80.98 / $80.98	Facility	AS	$80.98	$80.98	$80.98
United Facility/Professional Facility Modifier Low / Median / High Price $3,150.00 / $7,298.00 / $13,382.00	Facility		$3,150.00	$7,298.00	$13,382.00