Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $8,912.51 / $11,748.98	Facility		$1,258.93	$8,912.51	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,456.54 / $15,135.61	Facility		$1,698.24	$6,456.54	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,412.54	Facility		$724.44	$1,122.02	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,258.93 / $1,949.84	Facility		$34.67	$1,258.93	$1,949.84
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility	22	$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	AS	$194.98	$194.98	$194.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,949.84 / $21,379.62	Facility		$426.58	$1,949.84	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier 22 Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility	22	$2,344.23	$2,344.23	$2,344.23
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	AS	$194.98	$194.98	$194.98
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,691.53 / $6,760.83	Facility		$575.44	$2,691.53	$6,760.83