Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $7,762.47 / $16,982.44	Facility		$977.24	$7,762.47	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,897.79 / $21,877.62	Facility		$2,570.40	$4,897.79	$21,877.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $602.56 / $3,630.78	Facility		$549.54	$602.56	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $977.24 / $4,365.16	Facility		$562.34	$977.24	$4,365.16
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	22	$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	AS	$97.72	$97.72	$97.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $977.24 / $5,754.40	Facility		$575.44	$977.24	$5,754.40
Medical Mutual of Ohio Facility/Professional Facility Modifier 22 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	22	$1,174.90	$1,174.90	$1,174.90
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	AS	$97.72	$97.72	$97.72
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $8,128.31 / $14,125.38	Facility		$1,288.25	$8,128.31	$14,125.38