Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.87 / $5,135.00 / $11,679.00	Facility		$349.87	$5,135.00	$11,679.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.00 / $8,239.18 / $15,310.83	Facility		$2,785.00	$8,239.18	$15,310.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $333.74 / $400.49 / $495.70	Facility		$333.74	$400.49	$495.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.09 / $530.00 / $1,200.00	Facility		$401.09	$530.00	$1,200.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $243.96 / $243.96 / $243.96	Facility	62	$243.96	$243.96	$243.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $39.03 / $39.03 / $39.03	Facility	AS	$39.03	$39.03	$39.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $401.09 / $530.00 / $1,200.00	Facility		$401.09	$530.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Facility Modifier 62 Low / Median / High Price $243.96 / $243.96 / $243.96	Facility	62	$243.96	$243.96	$243.96
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $39.03 / $39.03 / $39.03	Facility	AS	$39.03	$39.03	$39.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $6,227.00 / $9,483.00	Facility		$1,050.00	$6,227.00	$9,483.00