Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.80 / $4,723.00 / $11,627.00	Facility		$843.80	$4,723.00	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,830.00 / $3,969.68 / $7,474.03	Facility		$1,830.00	$3,969.68	$7,474.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $806.62 / $967.94 / $1,198.04	Facility		$806.62	$967.94	$1,198.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $964.50 / $21,571.00	Facility		$425.00	$964.50	$21,571.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $95.41 / $95.41 / $95.41	Facility	AS	$95.41	$95.41	$95.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,200.00	Facility		$425.00	$600.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $95.41 / $95.41 / $95.41	Facility	AS	$95.41	$95.41	$95.41
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $4,072.00 / $6,238.00	Facility		$800.00	$4,072.00	$6,238.00