Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.84 / $3,983.00 / $9,863.00	Facility		$390.84	$3,983.00	$9,863.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $106.29 / $158.05 / $365.11	Facility	52	$106.29	$158.05	$365.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $3,554.00 / $19,117.00	Facility		$1,755.00	$3,554.00	$19,117.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.11 / $243.73 / $301.67	Facility		$203.11	$243.73	$301.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.91 / $5,080.03 / $8,570.24	Facility		$244.91	$5,080.03	$8,570.24
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $191.49 / $191.49 / $191.49	Facility	52	$191.49	$191.49	$191.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $5,080.03 / $6,384.47	Facility		$530.00	$5,080.03	$6,384.47
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $191.49 / $191.49 / $191.49	Facility	52	$191.49	$191.49	$191.49
United Facility/Professional Facility Modifier Low / Median / High Price $925.00 / $5,209.00 / $7,778.00	Facility		$925.00	$5,209.00	$7,778.00