Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $8,912.51 / $11,748.98	Facility		$1,174.90	$8,912.51	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,309.57 / $15,135.61	Facility		$1,698.24	$6,309.57	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,096.48 / $2,041.74	Facility		$977.24	$1,096.48	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,778.28 / $1,778.28	Facility		$34.67	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility	22	$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	AS	$177.83	$177.83	$177.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,778.28 / $21,379.62	Facility		$426.58	$1,778.28	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier 22 Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility	22	$2,137.96	$2,137.96	$2,137.96
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	AS	$177.83	$177.83	$177.83
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