Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,193.67 / $7,501.00 / $17,473.00	Facility		$2,193.67	$7,501.00	$17,473.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $737.62 / $1,096.83 / $2,509.46	Facility	52	$737.62	$1,096.83	$2,509.46
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 $1,350.39 / $1,733.12 / $2,301.81	Facility		$1,350.39	$1,733.12	$2,301.81
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 $1,723.69 / $1,723.69 / $1,723.69	Facility		$1,723.69	$1,723.69	$1,723.69
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $1,362.43 / $1,362.43 / $1,362.43	Facility	52	$1,362.43	$1,362.43	$1,362.43
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $170.30 / $170.30 / $170.30	Facility	AS	$170.30	$170.30	$170.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,496.00 / $11,296.00 / $21,466.00	Facility		$5,496.00	$11,296.00	$21,466.00