Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,232.94 / $5,135.00 / $11,679.00	Facility		$1,232.94	$5,135.00	$11,679.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $616.47 / $916.69 / $2,059.35	Facility	52	$616.47	$916.69	$2,059.35
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 $1,180.25 / $1,416.30 / $1,752.98	Facility		$1,180.25	$1,416.30	$1,752.98
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 $1,108.61 / $1,108.61 / $1,108.61	Facility	52	$1,108.61	$1,108.61	$1,108.61
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $138.58 / $138.58 / $138.58	Facility	AS	$138.58	$138.58	$138.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,411.74	Facility		$425.00	$600.00	$1,411.74
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $1,108.61 / $1,108.61 / $1,108.61	Facility	52	$1,108.61	$1,108.61	$1,108.61
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $138.58 / $138.58 / $138.58	Facility	AS	$138.58	$138.58	$138.58
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