Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $2,482.31 / $11,627.00	Facility		$20.54	$2,482.31	$11,627.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $9.34 / $13.88 / $32.13	Facility	52	$9.34	$13.88	$32.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,877.00 / $3,943.00	Facility		$711.00	$1,877.00	$3,943.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $21.70 / $26.85	Facility		$18.07	$21.70	$26.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $581.00 / $1,024.26	Facility		$21.59	$581.00	$1,024.26
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $16.70 / $16.70 / $16.70	Facility	52	$16.70	$16.70	$16.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $581.00 / $763.03	Facility		$366.00	$581.00	$763.03
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $16.70 / $16.70 / $16.70	Facility	52	$16.70	$16.70	$16.70
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