Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $1,778.00 / $9,504.00	Facility		$121.82	$1,778.00	$9,504.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $69.08 / $118.89 / $282.85	Facility	54	$69.08	$118.89	$282.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.92 / $91.55 / $133.30	Facility		$83.92	$91.55	$133.30
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 $160.71 / $160.71 / $896.08	Facility		$160.71	$160.71	$896.08
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $112.50 / $112.50 / $112.50	Facility	54	$112.50	$112.50	$112.50
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00