Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.00 / $5,072.00 / $11,581.00	Facility		$917.00	$5,072.00	$11,581.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,823.60 / $7,882.50 / $10,867.50	Facility	50	$4,823.60	$7,882.50	$10,867.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,967.00 / $14,996.00	Facility		$1,760.00	$3,967.00	$14,996.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $675.30 / $810.36 / $1,266.20	Facility		$675.30	$810.36	$1,266.20
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 $3,924.21 / $3,924.21 / $6,363.70	Facility		$3,924.21	$3,924.21	$6,363.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00