Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.52 / $5,217.00 / $11,581.00	Facility		$1,614.52	$5,217.00	$11,581.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $14,425.40 / $14,425.40 / $14,425.40	Facility	22	$14,425.40	$14,425.40	$14,425.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,708.00 / $9,937.95 / $27,118.80	Facility	50	$6,708.00	$9,937.95	$27,118.80
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 $1,034.80 / $1,293.50 / $1,536.95	Facility		$1,034.80	$1,293.50	$1,536.95
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 $2,423.42 / $4,643.10 / $9,988.85	Facility		$2,423.42	$4,643.10	$9,988.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00