Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.74 / $4,723.00 / $11,627.00	Facility		$844.74	$4,723.00	$11,627.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $422.37 / $628.07 / $1,406.50	Facility	52	$422.37	$628.07	$1,406.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.00 / $8,239.18 / $15,310.83	Facility		$2,785.00	$8,239.18	$15,310.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $807.42 / $968.90 / $1,199.23	Facility		$807.42	$968.90	$1,199.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $967.73 / $21,571.00	Facility		$425.00	$967.73	$21,571.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $761.45 / $761.45 / $761.45	Facility	52	$761.45	$761.45	$761.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,200.00	Facility		$425.00	$600.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $761.45 / $761.45 / $761.45	Facility	52	$761.45	$761.45	$761.45
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $3,086.00 / $6,111.00	Facility		$650.00	$3,086.00	$6,111.00