Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $3,146.08 / $10,268.00	Facility		$700.00	$3,146.08	$10,268.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $284.50 / $423.04 / $945.38	Facility	52	$284.50	$423.04	$945.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $426.74 / $634.57 / $1,418.06	Facility	54	$426.74	$634.57	$1,418.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $519.09 / $666.22 / $884.82	Facility		$519.09	$666.22	$884.82
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 $664.73 / $664.73 / $664.73	Facility		$664.73	$664.73	$664.73
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $530.59 / $530.59 / $530.59	Facility	52	$530.59	$530.59	$530.59
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $464.27 / $464.27 / $464.27	Facility	54	$464.27	$464.27	$464.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00