Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.15 / $6,021.00 / $14,014.53	Facility		$837.15	$6,021.00	$14,014.53
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $251.97 / $374.67 / $784.50	Facility	52	$251.97	$374.67	$784.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $100.79 / $149.87 / $313.80	Facility	53	$100.79	$149.87	$313.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $439.64 / $439.64 / $640.17	Facility		$439.64	$439.64	$640.17
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 $12,239.11 / $12,239.11 / $12,239.11	Facility		$12,239.11	$12,239.11	$12,239.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,524.00 / $14,630.00 / $30,266.00	Facility		$4,524.00	$14,630.00	$30,266.00