Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $4,723.00 / $11,627.00	Facility		$764.00	$4,723.00	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $41,878.69 / $76,926.81	Facility		$3,315.00	$41,878.69	$76,926.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $890.70 / $1,182.96	Facility		$694.00	$890.70	$1,182.96
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 $892.03 / $892.03 / $892.03	Facility		$892.03	$892.03	$892.03
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $87.39 / $87.39 / $87.39	Facility	AS	$87.39	$87.39	$87.39
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