Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $5,888.44 / $11,748.98	Facility		$676.08	$5,888.44	$11,748.98
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,479.11 / $6,025.60 / $11,748.98	Facility	50	$1,479.11	$6,025.60	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,888.44 / $15,135.61	Facility		$1,949.84	$5,888.44	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $446.68 / $501.19	Facility		$416.87	$446.68	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $21,379.62	Facility		$1,380.38	$1,380.38	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $8,709.64	Facility		$100.00	$100.00	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,754.40 / $9,120.11	Facility		$2,951.21	$5,754.40	$9,120.11