Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $8,912.51 / $11,748.98	Facility		$3,388.44	$8,912.51	$11,748.98
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 $2,951.21 / $3,019.95 / $3,890.45	Facility		$2,951.21	$3,019.95	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $5,248.07 / $5,248.07	Facility		$34.67	$5,248.07	$5,248.07
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility	22	$6,309.57	$6,309.57	$6,309.57
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	62	$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	AS	$524.81	$524.81	$524.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $5,248.07 / $21,379.62	Facility		$602.56	$5,248.07	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier 22 Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility	22	$6,309.57	$6,309.57	$6,309.57
Medical Mutual of Ohio Facility/Professional Facility Modifier 62 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	62	$3,311.31	$3,311.31	$3,311.31
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	AS	$524.81	$524.81	$524.81
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