Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,105.67 / $7,736.56 / $11,627.00	Facility		$2,105.67	$7,736.56	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,794.51 / $17,502.61 / $31,141.30	Facility		$6,794.51	$17,502.61	$31,141.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,081.67 / $2,270.92 / $3,306.77	Facility		$2,081.67	$2,270.92	$3,306.77
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 $2,655.18 / $2,655.18 / $2,655.18	Facility		$2,655.18	$2,655.18	$2,655.18
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $262.88 / $262.88 / $262.88	Facility	AS	$262.88	$262.88	$262.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00