Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.79 / $1,523.00 / $8,913.00	Facility		$259.79	$1,523.00	$8,913.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $45.45 / $130.44 / $258.02	Facility	53	$45.45	$130.44	$258.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.00 / $1,765.00 / $3,943.00	Facility		$777.00	$1,765.00	$3,943.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.51 / $175.81 / $217.60	Facility		$146.51	$175.81	$217.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.52 / $577.00 / $888.46	Facility		$263.52	$577.00	$888.46
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.70 / $52.70 / $52.70	Facility	53	$52.70	$52.70	$52.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $577.00 / $888.46	Facility		$366.00	$577.00	$888.46
Medical Mutual of Ohio Facility/Professional Facility Modifier 53 Low / Median / High Price $52.70 / $52.70 / $52.70	Facility	53	$52.70	$52.70	$52.70
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00