Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.34 / $3,325.00 / $8,525.21	Facility		$777.34	$3,325.00	$8,525.21
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $113.07 / $208.27 / $1,663.04	Facility	52	$113.07	$208.27	$1,663.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,443.00 / $8,800.00	Facility		$918.00	$2,443.00	$8,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $216.69 / $260.02 / $321.83	Facility		$216.69	$260.02	$321.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.75 / $885.00 / $1,758.30	Facility		$260.75	$885.00	$1,758.30
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $204.01 / $204.01 / $204.01	Facility	52	$204.01	$204.01	$204.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $1,199.14 / $1,758.30	Facility		$508.00	$1,199.14	$1,758.30
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $204.01 / $204.01 / $204.01	Facility	52	$204.01	$204.01	$204.01
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00