Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,306.00 / $7,670.00 / $17,682.00	Facility		$2,306.00	$7,670.00	$17,682.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,745.00 / $30,285.00 / $53,822.78	Facility		$11,745.00	$30,285.00	$53,822.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,481.26 / $1,901.08 / $2,524.86	Facility		$1,481.26	$1,901.08	$2,524.86
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 $1,891.01 / $1,891.01 / $1,891.01	Facility		$1,891.01	$1,891.01	$1,891.01
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $187.01 / $187.01 / $187.01	Facility	AS	$187.01	$187.01	$187.01
United Facility/Professional Facility Modifier Low / Median / High Price $5,351.00 / $10,707.00 / $16,745.00	Facility		$5,351.00	$10,707.00	$16,745.00