Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,704.15 / $6,337.51 / $11,581.00	Facility		$1,704.15	$6,337.51	$11,581.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $6,746.00 / $30,285.00	Facility		$2,670.00	$6,746.00	$30,285.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,049.05 / $1,346.38 / $1,788.15	Facility		$1,049.05	$1,346.38	$1,788.15
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 $1,341.75 / $1,341.75 / $1,341.75	Facility		$1,341.75	$1,341.75	$1,341.75
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $133.40 / $133.40 / $133.40	Facility	AS	$133.40	$133.40	$133.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00