Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.22 / $2,113.00 / $9,534.00	Facility		$411.22	$2,113.00	$9,534.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $205.61 / $305.74 / $648.36	Facility	52	$205.61	$305.74	$648.36
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $308.42 / $339.26 / $972.54	Facility	54	$308.42	$339.26	$972.54
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 $376.62 / $483.36 / $641.97	Facility		$376.62	$483.36	$641.97
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 $483.95 / $483.95 / $483.95	Facility		$483.95	$483.95	$483.95
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $384.75 / $384.75 / $384.75	Facility	52	$384.75	$384.75	$384.75
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $336.66 / $336.66 / $336.66	Facility	54	$336.66	$336.66	$336.66
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00