Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.16 / $4,723.00 / $11,627.00	Facility		$140.16	$4,723.00	$11,627.00
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 $133.79 / $160.55 / $198.72	Facility		$133.79	$160.55	$198.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.57 / $530.00 / $1,200.00	Facility		$160.57	$530.00	$1,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $15.62 / $15.62 / $15.62	Facility	AS	$15.62	$15.62	$15.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $160.57 / $530.00 / $1,200.00	Facility		$160.57	$530.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $15.62 / $15.62 / $15.62	Facility	AS	$15.62	$15.62	$15.62
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