Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.43 / $9,496.00 / $12,103.44	Facility		$1,404.43	$9,496.00	$12,103.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,386.00 / $24,171.30 / $43,081.47	Facility		$4,386.00	$24,171.30	$43,081.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,220.89 / $1,465.07 / $1,813.35	Facility		$1,220.89	$1,465.07	$1,813.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,461.02	Facility		$425.00	$581.00	$1,461.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $143.09 / $143.09 / $143.09	Facility	AS	$143.09	$143.09	$143.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $1,461.02	Facility		$425.00	$562.00	$1,461.02
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $143.09 / $143.09 / $143.09	Facility	AS	$143.09	$143.09	$143.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $7,705.00 / $12,871.00	Facility		$1,275.00	$7,705.00	$12,871.00