Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.50 / $2,475.00 / $10,268.00	Facility		$174.50	$2,475.00	$10,268.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.05 / $118.86 / $147.11	Facility		$99.05	$118.86	$147.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.56 / $117.56 / $21,571.00	Facility		$117.56	$117.56	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $117.56 / $600.00 / $6,623.55	Facility		$117.56	$600.00	$6,623.55
United Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $876.00 / $3,218.00	Facility		$135.00	$876.00	$3,218.00