Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.05 / $7,710.00 / $11,735.00	Facility		$1,615.05	$7,710.00	$11,735.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.00 / $8,239.18 / $15,310.83	Facility		$2,785.00	$8,239.18	$15,310.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,039.78 / $1,247.74 / $1,544.34	Facility		$1,039.78	$1,247.74	$1,544.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,243.03	Facility		$425.00	$581.00	$1,243.03
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $121.95 / $121.95 / $121.95	Facility	AS	$121.95	$121.95	$121.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $1,243.03	Facility		$425.00	$562.00	$1,243.03
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $121.95 / $121.95 / $121.95	Facility	AS	$121.95	$121.95	$121.95
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