Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,525.48 / $7,645.00 / $17,258.24	Facility		$2,525.48	$7,645.00	$17,258.24
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $849.19 / $1,262.74 / $3,762.00	Facility	52	$849.19	$1,262.74	$3,762.00
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 $1,553.61 / $1,993.93 / $2,648.19	Facility		$1,553.61	$1,993.93	$2,648.19
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 $1,984.25 / $1,984.25 / $22,097.45	Facility		$1,984.25	$1,984.25	$22,097.45
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $1,569.13 / $1,569.13 / $1,569.13	Facility	52	$1,569.13	$1,569.13	$1,569.13
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $196.14 / $196.14 / $196.14	Facility	AS	$196.14	$196.14	$196.14
United Facility/Professional Facility Modifier Low / Median / High Price $6,136.00 / $12,167.00 / $15,869.00	Facility		$6,136.00	$12,167.00	$15,869.00