Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,078.00 / $5,941.00 / $10,635.00	Facility		$2,078.00	$5,941.00	$10,635.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,644.00 / $6,459.78 / $12,695.35	Facility		$2,644.00	$6,459.78	$12,695.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,836.09 / $2,203.31 / $2,727.08	Facility		$1,836.09	$2,203.31	$2,727.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,200.00 / $21,571.00	Facility		$425.00	$1,200.00	$21,571.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $216.98 / $216.98 / $216.98	Facility	AS	$216.98	$216.98	$216.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,209.56	Facility		$425.00	$600.00	$2,209.56
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $216.98 / $216.98 / $216.98	Facility	AS	$216.98	$216.98	$216.98
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