Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,388.44 / $10,715.19	Facility		$645.65	$3,388.44	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,388.44 / $15,135.61	Facility		$954.99	$3,388.44	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $446.68 / $3,388.44	Facility		$398.11	$446.68	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $724.44 / $4,073.80	Facility		$512.86	$724.44	$4,073.80
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $870.96 / $870.96 / $870.96	Facility	22	$870.96	$870.96	$870.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $724.44 / $5,495.41	Facility		$512.86	$724.44	$5,495.41
Medical Mutual of Ohio Facility/Professional Facility Modifier 22 Low / Median / High Price $870.96 / $870.96 / $870.96	Facility	22	$870.96	$870.96	$870.96
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,413.10	Facility		$100.00	$100.00	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,168.69 / $7,413.10	Facility		$794.33	$4,168.69	$7,413.10