Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $6,813.00 / $14,500.00	Facility		$1,775.00	$6,813.00	$14,500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,405.00 / $41,878.69 / $76,926.81	Facility		$3,405.00	$41,878.69	$76,926.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,219.71 / $1,565.41 / $1,937.53	Facility		$1,219.71	$1,565.41	$1,937.53
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 $1,548.07 / $1,548.07 / $1,548.07	Facility		$1,548.07	$1,548.07	$1,548.07
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $153.38 / $153.38 / $153.38	Facility	AS	$153.38	$153.38	$153.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,529.00 / $15,469.00	Facility		$4,873.00	$10,529.00	$15,469.00