Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,888.44 / $10,964.78	Facility		$1,698.24	$5,888.44	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $9,772.37 / $24,547.09	Facility		$2,570.40	$9,772.37	$24,547.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,174.90 / $1,479.11	Facility		$1,148.15	$1,174.90	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,202.26 / $2,041.74	Facility		$34.67	$1,202.26	$2,041.74
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility	22	$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	AS	$204.17	$204.17	$204.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,202.26 / $2,041.74	Facility		$524.81	$1,202.26	$2,041.74
Medical Mutual of Ohio Facility/Professional Facility Modifier 22 Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility	22	$2,454.71	$2,454.71	$2,454.71
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	AS	$204.17	$204.17	$204.17
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,691.53 / $6,760.83	Facility		$575.44	$2,691.53	$6,760.83