Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,485.50 / $6,654.91 / $11,561.00	Facility		$1,485.50	$6,654.91	$11,561.00
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 $1,157.19 / $1,262.39 / $1,838.22	Facility		$1,157.19	$1,262.39	$1,838.22
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 $1,470.67 / $1,470.67 / $1,470.67	Facility		$1,470.67	$1,470.67	$1,470.67
Medical Mutual of Ohio Facility/Professional Facility Modifier 62 Low / Median / High Price $913.41 / $913.41 / $913.41	Facility	62	$913.41	$913.41	$913.41
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $146.15 / $146.15 / $146.15	Facility	AS	$146.15	$146.15	$146.15
United Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $8,448.00 / $13,382.00	Facility		$4,227.00	$8,448.00	$13,382.00