Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.52 / $4,723.00 / $10,635.00	Facility		$273.52	$4,723.00	$10,635.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $4,041.00 / $25,522.00	Facility		$1,425.00	$4,041.00	$25,522.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.13 / $211.36 / $261.60	Facility		$176.13	$211.36	$261.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.25 / $530.00 / $21,571.00	Facility		$211.25	$530.00	$21,571.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $20.54 / $20.54 / $20.54	Facility	AS	$20.54	$20.54	$20.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $211.25 / $530.00 / $600.00	Facility		$211.25	$530.00	$600.00
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $20.54 / $20.54 / $20.54	Facility	AS	$20.54	$20.54	$20.54
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