Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $6,760.83 / $13,489.63	Facility		$588.84	$6,760.83	$13,489.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $4,265.80 / $21,877.62	Facility		$1,071.52	$4,265.80	$21,877.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $363.08 / $3,630.78	Facility		$331.13	$363.08	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $602.56 / $4,365.16	Facility		$389.05	$602.56	$4,365.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	AS	$58.88	$58.88	$58.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,890.45 / $6,309.57	Facility		$588.84	$3,890.45	$6,309.57
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	AS	$58.88	$58.88	$58.88
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,413.10	Facility		$100.00	$100.00	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,456.54 / $10,964.78	Facility		$1,047.13	$6,456.54	$10,964.78