Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.75 / $2,475.00 / $10,268.00	Facility		$263.75	$2,475.00	$10,268.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $133.03 / $197.81 / $448.79	Facility	54	$133.03	$197.81	$448.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.72 / $207.58 / $256.92	Facility		$161.72	$207.58	$256.92
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 $208.02 / $208.02 / $208.02	Facility		$208.02	$208.02	$208.02
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $140.13 / $140.13 / $140.13	Facility	54	$140.13	$140.13	$140.13
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00