Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.13 / $3,242.00 / $11,581.00	Facility		$65.13	$3,242.00	$11,581.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $19.68 / $29.26 / $67.18	Facility	52	$19.68	$29.26	$67.18
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $7.87 / $11.71 / $26.87	Facility	53	$7.87	$11.71	$26.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,750.00 / $3,943.00	Facility		$711.00	$1,750.00	$3,943.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $42.25 / $51.02	Facility		$37.79	$42.25	$51.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $293.79 / $600.00	Facility		$45.46	$293.79	$600.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $35.19 / $35.19 / $35.19	Facility	52	$35.19	$35.19	$35.19
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.80 / $8.80 / $8.80	Facility	53	$8.80	$8.80	$8.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $293.79 / $430.79	Facility		$45.46	$293.79	$430.79
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $35.19 / $35.19 / $35.19	Facility	52	$35.19	$35.19	$35.19
Medical Mutual of Ohio Facility/Professional Facility Modifier 53 Low / Median / High Price $8.80 / $8.80 / $8.80	Facility	53	$8.80	$8.80	$8.80
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $881.00 / $3,398.00	Facility		$123.00	$881.00	$3,398.00