Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.30 / $2,306.00 / $10,268.00	Facility		$269.30	$2,306.00	$10,268.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,633.96 / $3,631.01 / $3,631.01	Facility	50	$2,633.96	$3,631.01	$3,631.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.94 / $183.40 / $266.42	Facility		$144.94	$183.40	$266.42
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 $2,855.50 / $2,855.50 / $2,855.50	Facility		$2,855.50	$2,855.50	$2,855.50
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00