Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $1,872.00 / $9,516.00	Facility		$119.58	$1,872.00	$9,516.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.59 / $92.60 / $99.36	Facility		$63.59	$92.60	$99.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.70 / $112.70 / $21,571.00	Facility		$112.70	$112.70	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $112.70 / $112.70 / $187.19	Facility		$112.70	$112.70	$187.19
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $1,009.00 / $3,218.00	Facility		$444.00	$1,009.00	$3,218.00