Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,252.83 / $6,492.00 / $11,627.00	Facility		$1,252.83	$6,492.00	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,807.00 / $18,482.00 / $60,320.00	Facility		$2,807.00	$18,482.00	$60,320.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $846.13 / $1,015.36 / $1,256.72	Facility		$846.13	$1,015.36	$1,256.72
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 $8,768.28 / $8,768.28 / $8,768.28	Facility		$8,768.28	$8,768.28	$8,768.28
United Facility/Professional Facility Modifier Low / Median / High Price $9,541.00 / $31,222.00 / $47,498.00	Facility		$9,541.00	$31,222.00	$47,498.00