Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.00 / $5,355.00 / $11,627.00	Facility		$1,610.00	$5,355.00	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $3,405.00 / $15,092.00	Facility		$1,082.00	$3,405.00	$15,092.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $918.63 / $1,102.35 / $1,364.40	Facility		$918.63	$1,102.35	$1,364.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $2,262.39 / $3,816.75	Facility		$530.00	$2,262.39	$3,816.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $107.75 / $107.75 / $107.75	Facility	AS	$107.75	$107.75	$107.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $2,262.39 / $2,843.32	Facility		$530.00	$2,262.39	$2,843.32
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $107.75 / $107.75 / $107.75	Facility	AS	$107.75	$107.75	$107.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $9,154.00 / $15,469.00	Facility		$1,375.00	$9,154.00	$15,469.00