Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,333.25 / $4,723.00 / $11,627.00	Facility		$1,333.25	$4,723.00	$11,627.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $666.63 / $991.27 / $2,226.30	Facility	52	$666.63	$991.27	$2,226.30
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 $1,275.73 / $1,530.88 / $1,894.79	Facility		$1,275.73	$1,530.88	$1,894.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,200.00 / $21,571.00	Facility		$425.00	$1,200.00	$21,571.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,198.39 / $1,198.39 / $1,198.39	Facility	52	$1,198.39	$1,198.39	$1,198.39
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $149.80 / $149.80 / $149.80	Facility	AS	$149.80	$149.80	$149.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,526.26	Facility		$425.00	$600.00	$1,526.26
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $1,198.39 / $1,198.39 / $1,198.39	Facility	52	$1,198.39	$1,198.39	$1,198.39
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $149.80 / $149.80 / $149.80	Facility	AS	$149.80	$149.80	$149.80
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