Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,803.56 / $7,155.00 / $11,627.00	Facility		$1,803.56	$7,155.00	$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 $1,791.75 / $1,954.63 / $2,846.21	Facility		$1,791.75	$1,954.63	$2,846.21
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 $2,269.32 / $2,269.32 / $2,269.32	Facility		$2,269.32	$2,269.32	$2,269.32
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $225.03 / $225.03 / $225.03	Facility	AS	$225.03	$225.03	$225.03
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