Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,616.51 / $6,582.00 / $12,615.00	Facility		$1,616.51	$6,582.00	$12,615.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,443.00 / $41,878.69 / $76,926.81	Facility		$2,443.00	$41,878.69	$76,926.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,168.77 / $1,275.02 / $1,856.61	Facility		$1,168.77	$1,275.02	$1,856.61
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 $1,487.30 / $1,487.30 / $1,487.30	Facility		$1,487.30	$1,487.30	$1,487.30
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $147.38 / $147.38 / $147.38	Facility	AS	$147.38	$147.38	$147.38
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