Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,380.00 / $8,570.00 / $17,913.96	Facility		$2,380.00	$8,570.00	$17,913.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,294.00 / $6,904.00 / $36,529.00	Facility		$1,294.00	$6,904.00	$36,529.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,647.51 / $1,977.01 / $2,446.98	Facility		$1,647.51	$1,977.01	$2,446.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,971.38	Facility		$425.00	$581.00	$1,971.38
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,205.60 / $1,205.60 / $1,205.60	Facility	62	$1,205.60	$1,205.60	$1,205.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $192.90 / $192.90 / $192.90	Facility	AS	$192.90	$192.90	$192.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $18,680.55	Facility		$425.00	$600.00	$18,680.55
Medical Mutual of Ohio Facility/Professional Facility Modifier 62 Low / Median / High Price $1,205.60 / $1,205.60 / $1,205.60	Facility	62	$1,205.60	$1,205.60	$1,205.60
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $192.90 / $192.90 / $192.90	Facility	AS	$192.90	$192.90	$192.90
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