Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.03 / $3,027.00 / $10,268.00	Facility		$456.03	$3,027.00	$10,268.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $122.94 / $182.80 / $424.14	Facility	52	$122.94	$182.80	$424.14
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $49.17 / $73.12 / $169.66	Facility	53	$49.17	$73.12	$169.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,114.00 / $8,800.00	Facility		$918.00	$2,114.00	$8,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.49 / $281.39 / $348.28	Facility		$234.49	$281.39	$348.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.45 / $763.40 / $1,287.90	Facility		$283.45	$763.40	$1,287.90
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $221.01 / $221.01 / $221.01	Facility	52	$221.01	$221.01	$221.01
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $55.25 / $55.25 / $55.25	Facility	53	$55.25	$55.25	$55.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $763.40 / $959.43	Facility		$530.00	$763.40	$959.43
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $221.01 / $221.01 / $221.01	Facility	52	$221.01	$221.01	$221.01
Medical Mutual of Ohio Facility/Professional Facility Modifier 53 Low / Median / High Price $55.25 / $55.25 / $55.25	Facility	53	$55.25	$55.25	$55.25
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,297.00 / $5,235.00	Facility		$675.00	$2,297.00	$5,235.00