Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.00 / $4,359.00 / $9,534.00	Facility		$917.00	$4,359.00	$9,534.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $6,934.00 / $30,285.00	Facility		$2,777.00	$6,934.00	$30,285.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $545.99 / $700.73 / $930.66	Facility		$545.99	$700.73	$930.66
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 $1,048.86 / $1,048.86 / $1,048.86	Facility		$1,048.86	$1,048.86	$1,048.86
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $104.89 / $104.89 / $104.89	Facility	AS	$104.89	$104.89	$104.89
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