Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.44 / $4,934.00 / $11,581.00	Facility		$631.44	$4,934.00	$11,581.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $513.37 / $681.83	Facility		$400.00	$513.37	$681.83
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 $512.97 / $512.97 / $512.97	Facility		$512.97	$512.97	$512.97
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $50.85 / $50.85 / $50.85	Facility	AS	$50.85	$50.85	$50.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00