Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,417.54 / $5,305.51 / $11,627.00	Facility		$1,417.54	$5,305.51	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $6,932.00 / $30,285.00	Facility		$2,777.00	$6,932.00	$30,285.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $868.15 / $1,114.20 / $1,379.07	Facility		$868.15	$1,114.20	$1,379.07
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 $1,112.59 / $1,112.59 / $1,112.59	Facility		$1,112.59	$1,112.59	$1,112.59
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $111.14 / $111.14 / $111.14	Facility	AS	$111.14	$111.14	$111.14
United Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $9,067.00 / $14,156.00	Facility		$4,227.00	$9,067.00	$14,156.00