Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.01 / $8,553.00 / $85,738.09	Facility		$239.01	$8,553.00	$85,738.09
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $119.51 / $177.70 / $404.85	Facility	52	$119.51	$177.70	$404.85
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 $228.17 / $273.80 / $338.89	Facility		$228.17	$273.80	$338.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.83 / $273.83 / $21,571.00	Facility		$273.83	$273.83	$21,571.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $213.26 / $213.26 / $213.26	Facility	52	$213.26	$213.26	$213.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $26.66 / $26.66 / $26.66	Facility	AS	$26.66	$26.66	$26.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $273.83 / $273.83 / $600.00	Facility		$273.83	$273.83	$600.00
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $213.26 / $213.26 / $213.26	Facility	52	$213.26	$213.26	$213.26
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $26.66 / $26.66 / $26.66	Facility	AS	$26.66	$26.66	$26.66
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $2,883.00 / $6,111.00	Facility		$650.00	$2,883.00	$6,111.00