Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,630.27 / $10,715.19	Facility		$467.74	$2,630.27	$10,715.19
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,691.53 / $2,691.53 / $3,019.95	Facility	50	$2,691.53	$2,691.53	$3,019.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $21,379.62	Facility		$4,073.80	$4,073.80	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95