Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,248.07 / $10,964.78	Facility		$1,548.82	$5,248.07	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,570.88 / $21,877.62	Facility		$1,412.54	$4,570.88	$21,877.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $891.25 / $1,148.15	Facility		$870.96	$891.25	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,023.29 / $1,584.89	Facility		$34.67	$1,023.29	$1,584.89
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	22	$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	AS	$158.49	$158.49	$158.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,584.89 / $1,584.89	Facility		$426.58	$1,584.89	$1,584.89
Medical Mutual of Ohio Facility/Professional Facility Modifier 22 Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	22	$1,905.46	$1,905.46	$1,905.46
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	AS	$158.49	$158.49	$158.49
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,413.10	Facility		$100.00	$100.00	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $8,128.31 / $14,125.38	Facility		$1,288.25	$8,128.31	$14,125.38