Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,746.20 / $8,436.29 / $12,096.23	Facility		$1,746.20	$8,436.29	$12,096.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $3,967.00 / $19,117.00	Facility		$1,755.00	$3,967.00	$19,117.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,122.49 / $1,459.24 / $2,188.86	Facility		$1,122.49	$1,459.24	$2,188.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.00 / $4,048.28 / $5,935.99	Facility		$1,096.00	$4,048.28	$5,935.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $132.97 / $132.97 / $132.97	Facility	AS	$132.97	$132.97	$132.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,096.00 / $4,048.28 / $4,422.06	Facility		$1,096.00	$4,048.28	$4,422.06
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $132.97 / $132.97 / $132.97	Facility	AS	$132.97	$132.97	$132.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $6,227.00 / $9,483.00	Facility		$1,050.00	$6,227.00	$9,483.00