Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,406.36 / $4,197.00 / $14,836.70	Facility		$1,406.36	$4,197.00	$14,836.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,199.00 / $9,287.00 / $30,285.00	Facility		$3,199.00	$9,287.00	$30,285.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $924.18 / $1,109.02 / $1,386.27	Facility		$924.18	$1,109.02	$1,386.27
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 $2,009.11 / $6,168.55 / $11,270.79	Facility		$2,009.11	$6,168.55	$11,270.79
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $109.68 / $109.68 / $109.68	Facility	AS	$109.68	$109.68	$109.68
United Facility/Professional Facility Modifier Low / Median / High Price $4,534.00 / $9,390.00 / $18,211.00	Facility		$4,534.00	$9,390.00	$18,211.00