Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,142.53 / $4,723.00 / $11,627.00	Facility		$1,142.53	$4,723.00	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $4,041.00 / $25,522.00	Facility		$1,425.00	$4,041.00	$25,522.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,090.96 / $1,309.15 / $1,620.35	Facility		$1,090.96	$1,309.15	$1,620.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,307.42	Facility		$425.00	$581.00	$1,307.42
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $128.13 / $128.13 / $128.13	Facility	AS	$128.13	$128.13	$128.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $1,307.42	Facility		$425.00	$562.00	$1,307.42
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $128.13 / $128.13 / $128.13	Facility	AS	$128.13	$128.13	$128.13
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $3,086.00 / $6,111.00	Facility		$650.00	$3,086.00	$6,111.00