Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $6,584.40 / $16,036.40	Facility		$1,661.00	$6,584.40	$16,036.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,938.00 / $4,313.00 / $25,522.00	Facility		$1,938.00	$4,313.00	$25,522.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.28 / $690.34 / $862.92	Facility		$575.28	$690.34	$862.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $686.68 / $21,571.00	Facility		$425.00	$686.68	$21,571.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.78 / $67.78 / $67.78	Facility	AS	$67.78	$67.78	$67.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $6,490.23 / $16,343.61	Facility		$1,200.00	$6,490.23	$16,343.61
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $67.78 / $67.78 / $67.78	Facility	AS	$67.78	$67.78	$67.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $7,705.00 / $12,871.00	Facility		$1,275.00	$7,705.00	$12,871.00