Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,788.19 / $6,033.46 / $11,627.00	Facility		$1,788.19	$6,033.46	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,938.00 / $4,313.00 / $25,522.00	Facility		$1,938.00	$4,313.00	$25,522.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,708.73 / $2,050.48 / $2,537.91	Facility		$1,708.73	$2,050.48	$2,537.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $2,052.10	Facility		$425.00	$581.00	$2,052.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $200.73 / $200.73 / $200.73	Facility	AS	$200.73	$200.73	$200.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $2,052.10	Facility		$425.00	$562.00	$2,052.10
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $200.73 / $200.73 / $200.73	Facility	AS	$200.73	$200.73	$200.73
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