Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,888.44 / $10,964.78	Facility		$1,230.27	$5,888.44	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,365.16 / $21,877.62	Facility		$1,412.54	$4,365.16	$21,877.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $630.96 / $794.33	Facility		$616.60	$630.96	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $707.95 / $1,202.26	Facility		$34.67	$707.95	$1,202.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	AS	$109.65	$109.65	$109.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,096.48 / $1,202.26	Facility		$575.44	$1,096.48	$1,202.26
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	AS	$109.65	$109.65	$109.65
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