Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.39 / $5,217.00 / $12,077.00	Facility		$1,157.39	$5,217.00	$12,077.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $3,405.00 / $14,996.00	Facility		$1,622.00	$3,405.00	$14,996.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $605.17 / $786.73 / $1,180.09	Facility		$605.17	$786.73	$1,180.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.00 / $2,338.44 / $3,428.85	Facility		$581.00	$2,338.44	$3,428.85
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.20 / $71.20 / $71.20	Facility	AS	$71.20	$71.20	$71.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $581.00 / $2,338.44 / $3,428.85	Facility		$581.00	$2,338.44	$3,428.85
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $71.20 / $71.20 / $71.20	Facility	AS	$71.20	$71.20	$71.20
United Facility/Professional Facility Modifier Low / Median / High Price $819.00 / $5,460.00 / $7,853.00	Facility		$819.00	$5,460.00	$7,853.00