Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.26 / $4,044.00 / $10,817.74	Facility		$838.26	$4,044.00	$10,817.74
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,774.99 / $4,519.80 / $9,795.00	Facility	50	$1,774.99	$4,519.80	$9,795.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $5,770.00 / $30,285.00	Facility		$2,777.00	$5,770.00	$30,285.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $542.12 / $847.07 / $996.54	Facility		$542.12	$847.07	$996.54
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 $2,694.77 / $2,960.30 / $9,796.52	Facility		$2,694.77	$2,960.30	$9,796.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,392.00 / $10,989.00	Facility		$3,206.00	$6,392.00	$10,989.00