Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $3,388.44 / $10,715.19	Facility		$177.83	$3,388.44	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,884.03 / $7,943.28	Facility		$954.99	$2,884.03	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $112.20 / $1,737.80	Facility		$100.00	$112.20	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $616.60 / $2,137.96	Facility		$181.97	$616.60	$2,137.96
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	52	$144.54	$144.54	$144.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $691.83 / $3,019.95	Facility		$181.97	$691.83	$3,019.95
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	52	$144.54	$144.54	$144.54
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,388.44	Facility		$100.00	$100.00	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,398.83 / $5,248.07	Facility		$676.08	$2,398.83	$5,248.07