Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.25 / $2,905.00 / $10,268.00	Facility		$254.25	$2,905.00	$10,268.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $69.56 / $103.43 / $237.85	Facility	52	$69.56	$103.43	$237.85
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 $133.12 / $159.74 / $197.72	Facility		$133.12	$159.74	$197.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.19 / $885.00 / $1,758.30	Facility		$160.19	$885.00	$1,758.30
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $125.57 / $125.57 / $125.57	Facility	52	$125.57	$125.57	$125.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $885.00 / $1,309.85	Facility		$491.00	$885.00	$1,309.85
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $125.57 / $125.57 / $125.57	Facility	52	$125.57	$125.57	$125.57
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