Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $7,585.78 / $11,748.98	Facility		$954.99	$7,585.78	$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 $812.83 / $851.14 / $1,071.52	Facility		$812.83	$851.14	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,202.26 / $1,479.11	Facility		$34.67	$1,202.26	$1,479.11
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility	22	$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	AS	$147.91	$147.91	$147.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,479.11 / $21,379.62	Facility		$426.58	$1,479.11	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier 22 Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility	22	$1,778.28	$1,778.28	$1,778.28
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	AS	$147.91	$147.91	$147.91
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