Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,393.55 / $9,039.60 / $30,345.00	Facility		$2,393.55	$9,039.60	$30,345.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,370.64 / $4,370.64 / $4,370.64	Facility	22	$4,370.64	$4,370.64	$4,370.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $7,826.00 / $36,529.00	Facility		$2,097.00	$7,826.00	$36,529.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $859.83 / $1,074.79 / $1,277.07	Facility		$859.83	$1,074.79	$1,277.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5,541.34 / $10,953.06 / $28,955.16	Facility		$5,541.34	$10,953.06	$28,955.16
United Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $8,796.00 / $13,382.00	Facility		$4,227.00	$8,796.00	$13,382.00