Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.85 / $6,813.00 / $14,579.00	Facility		$1,615.85	$6,813.00	$14,579.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,443.00 / $29,300.94 / $53,822.78	Facility		$2,443.00	$29,300.94	$53,822.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $991.88 / $1,082.05 / $1,575.60	Facility		$991.88	$1,082.05	$1,575.60
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 $1,262.82 / $1,262.82 / $1,262.82	Facility		$1,262.82	$1,262.82	$1,262.82
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $125.34 / $125.34 / $125.34	Facility	AS	$125.34	$125.34	$125.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00