Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $5,355.00 / $11,581.00	Facility		$900.00	$5,355.00	$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 $530.51 / $680.87 / $904.28	Facility		$530.51	$680.87	$904.28
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 $679.98 / $679.98 / $7,516.96	Facility		$679.98	$679.98	$7,516.96
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $67.59 / $67.59 / $67.59	Facility	AS	$67.59	$67.59	$67.59
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