Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,273.94 / $8,553.00 / $22,521.22	Facility		$2,273.94	$8,553.00	$22,521.22
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $9,619.76 / $9,619.76 / $9,619.76	Facility	22	$9,619.76	$9,619.76	$9,619.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,340.00 / $6,904.00 / $36,529.00	Facility		$1,340.00	$6,904.00	$36,529.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,461.24 / $1,753.49 / $2,170.32	Facility		$1,461.24	$1,753.49	$2,170.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,749.72	Facility		$425.00	$581.00	$1,749.72
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,070.46 / $1,070.46 / $1,070.46	Facility	62	$1,070.46	$1,070.46	$1,070.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.27 / $171.27 / $171.27	Facility	AS	$171.27	$171.27	$171.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,749.72 / $18,904.95	Facility		$425.00	$1,749.72	$18,904.95
Medical Mutual of Ohio Facility/Professional Facility Modifier 62 Low / Median / High Price $1,070.46 / $1,070.46 / $1,070.46	Facility	62	$1,070.46	$1,070.46	$1,070.46
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $171.27 / $171.27 / $171.27	Facility	AS	$171.27	$171.27	$171.27
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