Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.45 / $6,064.00 / $11,627.00	Facility		$1,621.45	$6,064.00	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $16,655.00 / $29,882.70	Facility		$3,315.00	$16,655.00	$29,882.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,059.23 / $1,359.44 / $1,805.51	Facility		$1,059.23	$1,359.44	$1,805.51
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 $1,352.50 / $1,352.50 / $1,352.50	Facility		$1,352.50	$1,352.50	$1,352.50
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $134.18 / $134.18 / $134.18	Facility	AS	$134.18	$134.18	$134.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,676.00	Facility		$4,070.00	$8,440.00	$13,676.00