Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,630.27 / $10,715.19	Facility		$371.54	$2,630.27	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,137.96 / $2,511.89	Facility		$933.25	$2,137.96	$2,511.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $194.98 / $1,230.27	Facility		$177.83	$194.98	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $323.59 / $1,096.48	Facility		$34.67	$323.59	$1,096.48
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	AS	$32.36	$32.36	$32.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $21,379.62	Facility		$323.59	$323.59	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	AS	$32.36	$32.36	$32.36
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 $134.90 / $870.96 / $2,818.38	Facility		$134.90	$870.96	$2,818.38