Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.15 / $4,044.00 / $10,268.00	Facility		$598.15	$4,044.00	$10,268.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,915.00 / $4,609.08 / $6,315.00	Facility	50	$1,915.00	$4,609.08	$6,315.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $106.40 / $233.45 / $664.04	Professional	50	$106.40	$233.45	$664.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $428.83 / $585.23 / $1,006.74	Professional	50	$428.83	$585.23	$1,006.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.90 / $457.08 / $714.20	Facility		$380.90	$457.08	$714.20
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 $1,762.79 / $1,762.79 / $2,229.44	Facility		$1,762.79	$1,762.79	$2,229.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00