Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $8,446.00 / $13,237.15	Facility		$2,264.00	$8,446.00	$13,237.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $6,934.00 / $33,637.00	Facility		$2,670.00	$6,934.00	$33,637.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,060.95 / $1,273.14 / $1,591.43	Facility		$1,060.95	$1,273.14	$1,591.43
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 $1,654.72 / $6,505.66 / $9,331.69	Facility		$1,654.72	$6,505.66	$9,331.69
Medical Mutual of Ohio Facility/Professional Facility Modifier 62 Low / Median / High Price $783.15 / $783.15 / $783.15	Facility	62	$783.15	$783.15	$783.15
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $125.30 / $125.30 / $125.30	Facility	AS	$125.30	$125.30	$125.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $8,440.00 / $13,382.00	Facility		$4,227.00	$8,440.00	$13,382.00