Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,606.42 / $6,251.00 / $11,581.00	Facility		$1,606.42	$6,251.00	$11,581.00
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 $1,072.14 / $1,169.59 / $1,703.11	Facility		$1,072.14	$1,169.59	$1,703.11
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 $1,363.02 / $1,363.02 / $1,363.02	Facility		$1,363.02	$1,363.02	$1,363.02
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $135.37 / $135.37 / $135.37	Facility	AS	$135.37	$135.37	$135.37
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