Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $10,000.00 / $28,840.32	Facility		$1,905.46	$10,000.00	$28,840.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $10,715.19 / $24,547.09	Facility		$2,570.40	$10,715.19	$24,547.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,071.52 / $1,380.38	Facility		$1,047.13	$1,071.52	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $602.56 / $1,905.46	Facility		$34.67	$602.56	$1,905.46
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	22	$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $190.55 / $190.55 / $190.55	Facility	AS	$190.55	$190.55	$190.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,905.46 / $13,803.84	Facility		$524.81	$1,905.46	$13,803.84
Medical Mutual of Ohio Facility/Professional Facility Modifier 22 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	22	$2,290.87	$2,290.87	$2,290.87
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $190.55 / $190.55 / $190.55	Facility	AS	$190.55	$190.55	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $7,762.47 / $14,125.38	Facility		$1,288.25	$7,762.47	$14,125.38