Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,585.78 / $12,022.64	Facility		$2,187.76	$7,585.78	$12,022.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,456.54 / $15,135.61	Facility		$1,698.24	$6,456.54	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,096.48 / $1,412.54	Facility		$1,071.52	$1,096.48	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,071.52 / $1,905.46	Facility		$34.67	$1,071.52	$1,905.46
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	22	$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $190.55 / $190.55 / $190.55	Facility	AS	$190.55	$190.55	$190.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,202.26 / $1,905.46	Facility		$524.81	$1,202.26	$1,905.46
Medical Mutual of Ohio Facility/Professional Facility Modifier 22 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	22	$2,290.87	$2,290.87	$2,290.87
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $190.55 / $190.55 / $190.55	Facility	AS	$190.55	$190.55	$190.55
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