Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.92 / $7,881.00 / $11,735.00	Facility		$1,407.92	$7,881.00	$11,735.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,151.00 / $6,932.00 / $30,285.00	Facility		$3,151.00	$6,932.00	$30,285.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $867.92 / $1,113.91 / $1,378.71	Facility		$867.92	$1,113.91	$1,378.71
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 $1,108.89 / $1,108.89 / $1,108.89	Facility		$1,108.89	$1,108.89	$1,108.89
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $110.09 / $110.09 / $110.09	Facility	AS	$110.09	$110.09	$110.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,392.00 / $10,989.00	Facility		$3,206.00	$6,392.00	$10,989.00