Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.53 / $2,547.00 / $11,581.00	Facility		$137.53	$2,547.00	$11,581.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,576.66 / $1,576.66 / $1,576.66	Facility	50	$1,576.66	$1,576.66	$1,576.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $114.80 / $123.18	Facility		$78.84	$114.80	$123.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.10 / $92.10 / $21,571.00	Facility		$92.10	$92.10	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $92.10 / $92.10 / $95.24	Facility		$92.10	$92.10	$95.24
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $1,009.00 / $3,218.00	Facility		$444.00	$1,009.00	$3,218.00