Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.64 / $3,027.00 / $9,496.00	Facility		$262.64	$3,027.00	$9,496.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $71.77 / $141.88 / $413.81	Facility	52	$71.77	$141.88	$413.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.99 / $171.24 / $203.47	Facility		$136.99	$171.24	$203.47
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 $2,210.21 / $2,210.21 / $2,611.51	Facility		$2,210.21	$2,210.21	$2,611.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00