Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.92 / $4,723.00 / $10,635.00	Facility		$712.92	$4,723.00	$10,635.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $2,202.00 / $10,907.00	Facility		$816.00	$2,202.00	$10,907.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $367.98 / $441.58 / $546.54	Facility		$367.98	$441.58	$546.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.76 / $3,449.79 / $21,571.00	Facility		$440.76	$3,449.79	$21,571.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $43.36 / $43.36 / $43.36	Facility	AS	$43.36	$43.36	$43.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $440.76 / $3,449.79 / $4,145.10	Facility		$440.76	$3,449.79	$4,145.10
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $43.36 / $43.36 / $43.36	Facility	AS	$43.36	$43.36	$43.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $5,726.00 / $10,023.00	Facility		$1,050.00	$5,726.00	$10,023.00