Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.52 / $3,027.00 / $9,496.00	Facility		$749.52	$3,027.00	$9,496.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,748.50 / $4,608.00 / $5,657.38	Facility	50	$1,748.50	$4,608.00	$5,657.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.18 / $511.42 / $799.10	Facility		$426.18	$511.42	$799.10
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 $1,965.33 / $4,357.22 / $4,653.54	Facility		$1,965.33	$4,357.22	$4,653.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00