Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $8,912.51 / $11,748.98	Facility		$93.33	$8,912.51	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,467.37	Facility		$1,905.46	$2,238.72	$3,467.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $87.10 / $2,398.83	Facility		$79.43	$87.10	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $141.25 / $602.56	Facility		$34.67	$141.25	$602.56
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $14.13 / $14.13 / $14.13	Facility	AS	$14.13	$14.13	$14.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $21,379.62	Facility		$141.25	$141.25	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $14.13 / $14.13 / $14.13	Facility	AS	$14.13	$14.13	$14.13
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 $134.90 / $870.96 / $2,818.38	Facility		$134.90	$870.96	$2,818.38