Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,781.10 / $6,251.00 / $11,581.00	Facility		$1,781.10	$6,251.00	$11,581.00
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 $1,094.70 / $1,404.96 / $1,865.97	Facility		$1,094.70	$1,404.96	$1,865.97
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 $1,399.57 / $1,399.57 / $1,399.57	Facility		$1,399.57	$1,399.57	$1,399.57
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $138.28 / $138.28 / $138.28	Facility	AS	$138.28	$138.28	$138.28
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