Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,863.27 / $6,722.51 / $12,615.00	Facility		$1,863.27	$6,722.51	$12,615.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,074.60 / $8,074.60 / $50,003.32	Facility	50	$8,074.60	$8,074.60	$50,003.32
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $711.18 / $1,057.52 / $2,372.96	Facility	52	$711.18	$1,057.52	$2,372.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,129.00 / $14,299.15 / $25,723.30	Facility		$5,129.00	$14,299.15	$25,723.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,372.72 / $1,647.26 / $2,573.85	Facility		$1,372.72	$1,647.26	$2,573.85
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 $30,083.02 / $30,083.02 / $30,083.02	Facility		$30,083.02	$30,083.02	$30,083.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00