Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,111.85 / $7,501.00 / $17,473.00	Facility		$2,111.85	$7,501.00	$17,473.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $710.11 / $1,055.93 / $2,414.52	Facility	52	$710.11	$1,055.93	$2,414.52
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 $1,299.85 / $1,668.26 / $2,215.67	Facility		$1,299.85	$1,668.26	$2,215.67
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 $1,659.29 / $1,659.29 / $1,659.29	Facility		$1,659.29	$1,659.29	$1,659.29
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $1,312.03 / $1,312.03 / $1,312.03	Facility	52	$1,312.03	$1,312.03	$1,312.03
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $164.00 / $164.00 / $164.00	Facility	AS	$164.00	$164.00	$164.00
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