Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.00 / $4,723.00 / $11,627.00	Facility		$238.00	$4,723.00	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,501.00 / $13,621.30 / $25,522.00	Facility		$3,501.00	$13,621.30	$25,522.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.54 / $273.05 / $337.96	Facility		$227.54	$273.05	$337.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.75 / $272.75 / $21,571.00	Facility		$272.75	$272.75	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $272.75 / $272.75 / $600.00	Facility		$272.75	$272.75	$600.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $6,227.00 / $9,483.00	Facility		$1,050.00	$6,227.00	$9,483.00