Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $3,981.00 / $16,853.16	Facility		$1,791.00	$3,981.00	$16,853.16
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,967.00 / $2,967.00 / $2,967.00	Facility	22	$2,967.00	$2,967.00	$2,967.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.00 / $5,480.00 / $25,522.00	Facility		$2,202.00	$5,480.00	$25,522.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $671.23 / $805.48 / $996.95	Facility		$671.23	$805.48	$996.95
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 $4,184.88 / $10,938.09 / $25,745.39	Facility		$4,184.88	$10,938.09	$25,745.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00