Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.54 / $5,135.00 / $10,817.74	Facility		$1,226.54	$5,135.00	$10,817.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $4,421.00 / $14,996.00	Facility		$1,760.00	$4,421.00	$14,996.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $865.46 / $1,110.74 / $1,475.21	Facility		$865.46	$1,110.74	$1,475.21
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 $1,102.93 / $1,102.93 / $1,102.93	Facility		$1,102.93	$1,102.93	$1,102.93
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $109.46 / $109.46 / $109.46	Facility	AS	$109.46	$109.46	$109.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00