Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $3,019.95 / $9,120.11	Facility		$457.09	$3,019.95	$9,120.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,630.27 / $7,244.36	Facility		$954.99	$2,630.27	$7,244.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $275.42 / $1,096.48	Facility		$245.47	$275.42	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $524.81 / $1,659.59	Facility		$436.52	$524.81	$1,659.59
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	22	$524.81	$524.81	$524.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $891.25 / $4,677.35	Facility		$436.52	$891.25	$4,677.35
Medical Mutual of Ohio Facility/Professional Facility Modifier 22 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	22	$524.81	$524.81	$524.81
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,344.23	Facility		$100.00	$100.00	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,398.83 / $5,248.07	Facility		$676.08	$2,398.83	$5,248.07