Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.89 / $4,723.00 / $11,627.00	Facility		$211.89	$4,723.00	$11,627.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $105.95 / $157.54 / $360.04	Facility	52	$105.95	$157.54	$360.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $4,932.00 / $25,522.00	Facility		$2,291.00	$4,932.00	$25,522.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.79 / $242.15 / $299.72	Facility		$201.79	$242.15	$299.72
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 $5,123.20 / $5,123.20 / $5,123.20	Facility		$5,123.20	$5,123.20	$5,123.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00