Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.54 / $4,723.00 / $11,627.00	Facility		$1,047.54	$4,723.00	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.00 / $8,239.18 / $15,310.83	Facility		$2,785.00	$8,239.18	$15,310.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,001.94 / $1,202.33 / $1,488.14	Facility		$1,001.94	$1,202.33	$1,488.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,199.82 / $21,571.00	Facility		$425.00	$1,199.82	$21,571.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $117.55 / $117.55 / $117.55	Facility	AS	$117.55	$117.55	$117.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,200.00	Facility		$425.00	$600.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $117.55 / $117.55 / $117.55	Facility	AS	$117.55	$117.55	$117.55
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