Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.00 / $4,687.00 / $11,581.00	Facility		$562.00	$4,687.00	$11,581.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $3,555.00 / $19,117.00	Facility		$1,755.00	$3,555.00	$19,117.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $431.27 / $517.52 / $640.54	Facility		$431.27	$517.52	$640.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $4,048.28 / $5,935.99	Facility		$694.00	$4,048.28	$5,935.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $4,048.28 / $4,422.06	Facility		$694.00	$4,048.28	$4,422.06
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