Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,714.30 / $7,013.99 / $11,627.00	Facility		$1,714.30	$7,013.99	$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 $1,055.26 / $1,354.34 / $1,798.74	Facility		$1,055.26	$1,354.34	$1,798.74
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 $1,346.11 / $1,346.11 / $1,346.11	Facility		$1,346.11	$1,346.11	$1,346.11
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $133.62 / $133.62 / $133.62	Facility	AS	$133.62	$133.62	$133.62
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