Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $8,912.51 / $11,748.98	Facility		$1,202.26	$8,912.51	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,128.61 / $14,125.38	Facility		$1,698.24	$5,128.61	$14,125.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,318.26	Facility		$1,023.29	$1,071.52	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,202.26 / $1,819.70	Facility		$34.67	$1,202.26	$1,819.70
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	AS	$181.97	$181.97	$181.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,819.70 / $21,379.62	Facility		$426.58	$1,819.70	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	AS	$181.97	$181.97	$181.97
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