Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,715.35 / $10,715.19	Facility		$1,412.54	$3,715.35	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,467.37 / $15,135.61	Facility		$954.99	$3,467.37	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $831.76 / $1,047.13	Facility		$794.33	$831.76	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $933.25 / $1,445.44	Facility		$34.67	$933.25	$1,445.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	AS	$144.54	$144.54	$144.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,445.44 / $21,379.62	Facility		$426.58	$1,445.44	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	AS	$144.54	$144.54	$144.54
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,344.23	Facility		$100.00	$100.00	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,454.71 / $5,248.07	Facility		$676.08	$2,454.71	$5,248.07