Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $4,197.00 / $10,635.00	Facility		$950.00	$4,197.00	$10,635.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $619.09 / $794.56 / $1,055.27	Facility		$619.09	$794.56	$1,055.27
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 $787.96 / $787.96 / $787.96	Facility		$787.96	$787.96	$787.96
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $78.22 / $78.22 / $78.22	Facility	AS	$78.22	$78.22	$78.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00