Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,520.23 / $5,105.91 / $12,615.00	Facility		$1,520.23	$5,105.91	$12,615.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $760.12 / $1,130.29 / $2,552.96	Facility	52	$760.12	$1,130.29	$2,552.96
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 $1,453.87 / $1,744.64 / $2,159.37	Facility		$1,453.87	$1,744.64	$2,159.37
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 $1,366.02 / $1,366.02 / $1,366.02	Facility	52	$1,366.02	$1,366.02	$1,366.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $170.75 / $170.75 / $170.75	Facility	AS	$170.75	$170.75	$170.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,742.51	Facility		$425.00	$600.00	$1,742.51
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $1,366.02 / $1,366.02 / $1,366.02	Facility	52	$1,366.02	$1,366.02	$1,366.02
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $170.75 / $170.75 / $170.75	Facility	AS	$170.75	$170.75	$170.75
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