Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $6,637.00 / $17,682.00	Facility		$1,450.00	$6,637.00	$17,682.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $6,746.00 / $30,285.00	Facility		$2,670.00	$6,746.00	$30,285.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,116.18 / $1,217.65 / $1,773.07	Facility		$1,116.18	$1,217.65	$1,773.07
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 $1,412.84 / $1,412.84 / $1,412.84	Facility		$1,412.84	$1,412.84	$1,412.84
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $140.11 / $140.11 / $140.11	Facility	AS	$140.11	$140.11	$140.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00