Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,625.86 / $6,582.00 / $11,627.00	Facility		$1,625.86	$6,582.00	$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 $1,611.17 / $1,757.64 / $2,559.36	Facility		$1,611.17	$1,757.64	$2,559.36
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 $2,047.60 / $2,047.60 / $2,047.60	Facility		$2,047.60	$2,047.60	$2,047.60
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $202.96 / $202.96 / $202.96	Facility	AS	$202.96	$202.96	$202.96
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