Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.43 / $5,135.00 / $11,627.00	Facility		$156.43	$5,135.00	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.00 / $6,813.00 / $36,529.00	Facility		$1,081.00	$6,813.00	$36,529.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.94 / $178.74 / $221.23	Facility		$148.94	$178.74	$221.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.16 / $530.00 / $21,571.00	Facility		$179.16	$530.00	$21,571.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $17.41 / $17.41 / $17.41	Facility	AS	$17.41	$17.41	$17.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $179.16 / $530.00 / $600.00	Facility		$179.16	$530.00	$600.00
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $17.41 / $17.41 / $17.41	Facility	AS	$17.41	$17.41	$17.41
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $2,883.00 / $6,111.00	Facility		$650.00	$2,883.00	$6,111.00