Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.93 / $4,723.00 / $11,627.00	Facility		$118.93	$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 $113.89 / $136.66 / $169.16	Facility		$113.89	$136.66	$169.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.38 / $136.38 / $21,571.00	Facility		$136.38	$136.38	$21,571.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $13.27 / $13.27 / $13.27	Facility	AS	$13.27	$13.27	$13.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $136.38 / $136.38 / $600.00	Facility		$136.38	$136.38	$600.00
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $13.27 / $13.27 / $13.27	Facility	AS	$13.27	$13.27	$13.27
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