Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $6,918.31 / $13,803.84	Facility		$1,905.46	$6,918.31	$13,803.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,715.35 / $15,135.61	Facility		$1,698.24	$3,715.35	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $758.58 / $3,981.07	Facility		$691.83	$758.58	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,230.27 / $6,456.54	Facility		$575.44	$1,230.27	$6,456.54
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	22	$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	AS	$123.03	$123.03	$123.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,230.27 / $13,803.84	Facility		$575.44	$1,230.27	$13,803.84
Medical Mutual of Ohio Facility/Professional Facility Modifier 22 Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	22	$1,479.11	$1,479.11	$1,479.11
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	AS	$123.03	$123.03	$123.03
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,943.28	Facility		$100.00	$100.00	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,128.61 / $9,120.11	Facility		$933.25	$5,128.61	$9,120.11