Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.05 / $2,547.00 / $10,635.00	Facility		$704.05	$2,547.00	$10,635.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $432.04 / $471.31 / $686.30	Facility		$432.04	$471.31	$686.30
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 $550.42 / $550.42 / $550.42	Facility		$550.42	$550.42	$550.42
Medical Mutual of Ohio Facility/Professional Facility Modifier 62 Low / Median / High Price $337.64 / $337.64 / $337.64	Facility	62	$337.64	$337.64	$337.64
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	AS	$54.02	$54.02	$54.02
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00