Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,579.19 / $7,155.00 / $11,561.00	Facility		$1,579.19	$7,155.00	$11,561.00
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 $1,113.31 / $1,428.85 / $1,897.70	Facility		$1,113.31	$1,428.85	$1,897.70
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 $1,422.64 / $1,422.64 / $1,422.64	Facility		$1,422.64	$1,422.64	$1,422.64
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $140.69 / $140.69 / $140.69	Facility	AS	$140.69	$140.69	$140.69
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00