Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.12 / $1,839.00 / $8,553.00	Facility		$116.12	$1,839.00	$8,553.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $32.70 / $63.14 / $197.00	Facility	52	$32.70	$63.14	$197.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.30 / $74.76 / $92.54	Facility		$62.30	$74.76	$92.54
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 $577.94 / $1,188.53 / $2,029.15	Facility		$577.94	$1,188.53	$2,029.15
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,017.00 / $3,398.00	Facility		$480.00	$1,017.00	$3,398.00