Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,415.74 / $5,168.72 / $11,627.00	Facility		$1,415.74	$5,168.72	$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 $1,407.14 / $1,535.06 / $2,235.25	Facility		$1,407.14	$1,535.06	$2,235.25
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 $1,784.89 / $1,784.89 / $1,784.89	Facility		$1,784.89	$1,784.89	$1,784.89
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $177.02 / $177.02 / $177.02	Facility	AS	$177.02	$177.02	$177.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,529.00 / $15,469.00	Facility		$4,873.00	$10,529.00	$15,469.00