Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $8,912.51 / $11,748.98	Facility		$2,187.76	$8,912.51	$11,748.98
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 $1,862.09 / $1,905.46 / $2,398.83	Facility		$1,862.09	$1,905.46	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $602.56 / $3,311.31	Facility		$34.67	$602.56	$3,311.31
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility	22	$3,981.07	$3,981.07	$3,981.07
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	AS	$331.13	$331.13	$331.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,202.26 / $3,311.31	Facility		$524.81	$1,202.26	$3,311.31
Medical Mutual of Ohio Facility/Professional Facility Modifier 22 Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility	22	$3,981.07	$3,981.07	$3,981.07
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	AS	$331.13	$331.13	$331.13
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