Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $6,309.57 / $12,882.50	Facility		$977.24	$6,309.57	$12,882.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,388.44 / $15,135.61	Facility		$1,412.54	$3,388.44	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $616.60 / $2,137.96	Facility		$549.54	$616.60	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,000.00 / $3,467.37	Facility		$794.33	$1,000.00	$3,467.37
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	AS	$100.00	$100.00	$100.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,000.00 / $3,467.37	Facility		$794.33	$1,000.00	$3,467.37
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	AS	$100.00	$100.00	$100.00
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $4,365.16	Facility		$100.00	$100.00	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,128.61 / $8,511.38	Facility		$933.25	$5,128.61	$8,511.38