Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.09 / $2,895.00 / $9,534.00	Facility		$187.09	$2,895.00	$9,534.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,233.52 / $1,233.52 / $2,999.80	Facility	50	$1,233.52	$1,233.52	$2,999.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,412.00 / $8,800.00	Facility		$1,145.00	$2,412.00	$8,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.69 / $183.36 / $217.88	Facility		$146.69	$183.36	$217.88
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 $1,491.46 / $1,491.46 / $1,550.62	Facility		$1,491.46	$1,491.46	$1,550.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00