Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,067.00 / $8,708.53 / $15,877.66	Facility		$2,067.00	$8,708.53	$15,877.66
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $358.15 / $532.57 / $1,184.16	Facility	52	$358.15	$532.57	$1,184.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,938.00 / $4,724.00 / $25,522.00	Facility		$1,938.00	$4,724.00	$25,522.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $687.11 / $824.53 / $1,030.67	Facility		$687.11	$824.53	$1,030.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.00 / $3,969.14 / $5,819.95	Facility		$581.00	$3,969.14	$5,819.95
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $645.72 / $645.72 / $645.72	Facility	52	$645.72	$645.72	$645.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.72 / $80.72 / $80.72	Facility	AS	$80.72	$80.72	$80.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,449.79 / $6,146.57 / $13,797.90	Facility		$3,449.79	$6,146.57	$13,797.90
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $645.72 / $645.72 / $645.72	Facility	52	$645.72	$645.72	$645.72
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $80.72 / $80.72 / $80.72	Facility	AS	$80.72	$80.72	$80.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $7,705.00 / $12,871.00	Facility		$1,275.00	$7,705.00	$12,871.00