Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,388.06 / $7,670.00 / $17,780.00	Facility		$2,388.06	$7,670.00	$17,780.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $922.39 / $1,371.60 / $3,146.28	Facility	52	$922.39	$1,371.60	$3,146.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,745.00 / $30,285.00 / $53,822.78	Facility		$11,745.00	$30,285.00	$53,822.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,687.42 / $2,165.67 / $2,680.49	Facility		$1,687.42	$2,165.67	$2,680.49
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 $2,155.96 / $2,155.96 / $2,155.96	Facility		$2,155.96	$2,155.96	$2,155.96
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $1,701.26 / $1,701.26 / $1,701.26	Facility	52	$1,701.26	$1,701.26	$1,701.26
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $212.66 / $212.66 / $212.66	Facility	AS	$212.66	$212.66	$212.66
United Facility/Professional Facility Modifier Low / Median / High Price $5,351.00 / $11,727.00 / $16,745.00	Facility		$5,351.00	$11,727.00	$16,745.00