Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.17 / $4,723.00 / $11,627.00	Facility		$991.17	$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 $944.01 / $1,132.81 / $1,402.10	Facility		$944.01	$1,132.81	$1,402.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,138.50 / $21,571.00	Facility		$425.00	$1,138.50	$21,571.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $111.55 / $111.55 / $111.55	Facility	AS	$111.55	$111.55	$111.55
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 $111.55 / $111.55 / $111.55	Facility	AS	$111.55	$111.55	$111.55
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