Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $3,971.00 / $11,581.00	Facility		$700.00	$3,971.00	$11,581.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $6,746.00 / $30,285.00	Facility		$2,777.00	$6,746.00	$30,285.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.23 / $387.89 / $515.16	Facility		$302.23	$387.89	$515.16
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 $583.96 / $583.96 / $583.96	Facility		$583.96	$583.96	$583.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00