Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.53 / $3,671.00 / $9,504.00	Facility		$534.53	$3,671.00	$9,504.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.22 / $233.78 / $605.50	Facility	52	$157.22	$233.78	$605.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $62.89 / $93.51 / $215.90	Facility	53	$62.89	$93.51	$215.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $3,175.00 / $14,996.00	Facility		$1,082.00	$3,175.00	$14,996.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $299.80 / $359.76 / $445.28	Facility		$299.80	$359.76	$445.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.56 / $885.00 / $3,816.75	Facility		$362.56	$885.00	$3,816.75
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $283.33 / $283.33 / $283.33	Facility	52	$283.33	$283.33	$283.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $70.84 / $70.84 / $70.84	Facility	53	$70.84	$70.84	$70.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $885.00 / $2,843.32	Facility		$491.00	$885.00	$2,843.32
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $283.33 / $283.33 / $283.33	Facility	52	$283.33	$283.33	$283.33
Medical Mutual of Ohio Facility/Professional Facility Modifier 53 Low / Median / High Price $70.84 / $70.84 / $70.84	Facility	53	$70.84	$70.84	$70.84
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