Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.93 / $5,887.00 / $10,635.00	Facility		$447.93	$5,887.00	$10,635.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $126.57 / $188.21 / $406.49	Facility	52	$126.57	$188.21	$406.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.00 / $2,674.00 / $8,800.00	Facility		$919.00	$2,674.00	$8,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.34 / $290.81 / $359.94	Facility		$242.34	$290.81	$359.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.89 / $1,935.02 / $2,837.31	Facility		$290.89	$1,935.02	$2,837.31
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $232.05 / $232.05 / $232.05	Facility	52	$232.05	$232.05	$232.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $718.00 / $2,550.48 / $6,793.76	Facility		$718.00	$2,550.48	$6,793.76
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $232.05 / $232.05 / $232.05	Facility	52	$232.05	$232.05	$232.05
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $4,072.00 / $6,238.00	Facility		$800.00	$4,072.00	$6,238.00