Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.58 / $4,044.00 / $9,863.00	Facility		$719.58	$4,044.00	$9,863.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $127.84 / $190.09 / $439.60	Facility	52	$127.84	$190.09	$439.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,118.00 / $8,800.00	Facility		$918.00	$2,118.00	$8,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $244.50 / $293.39 / $363.15	Facility		$244.50	$293.39	$363.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.83 / $1,042.24 / $1,758.30	Facility		$294.83	$1,042.24	$1,758.30
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $230.55 / $230.55 / $230.55	Facility	52	$230.55	$230.55	$230.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $1,042.24 / $1,758.30	Facility		$530.00	$1,042.24	$1,758.30
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $230.55 / $230.55 / $230.55	Facility	52	$230.55	$230.55	$230.55
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