Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,570.57 / $7,654.00 / $12,672.00	Facility		$1,570.57	$7,654.00	$12,672.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,974.75 / $1,974.75 / $20,923.34	Facility	50	$1,974.75	$1,974.75	$20,923.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $6,080.00 / $29,406.00	Facility		$1,895.00	$6,080.00	$29,406.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,121.83 / $1,346.21 / $2,103.44	Facility		$1,121.83	$1,346.21	$2,103.44
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 $23,624.49 / $23,624.49 / $23,624.49	Facility		$23,624.49	$23,624.49	$23,624.49
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,876.00 / $13,471.00	Facility		$3,206.00	$6,876.00	$13,471.00