Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,630.27 / $10,715.19	Facility		$501.19	$2,630.27	$10,715.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $234.42	Facility		$199.53	$199.53	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,318.26 / $21,379.62	Facility		$331.13	$1,318.26	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95