Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,502.86 / $5,135.00 / $11,627.00	Facility		$1,502.86	$5,135.00	$11,627.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $532.92 / $792.47 / $1,769.22	Facility	52	$532.92	$792.47	$1,769.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.00 / $8,239.18 / $15,310.83	Facility		$2,785.00	$8,239.18	$15,310.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,022.08 / $1,226.50 / $1,518.06	Facility		$1,022.08	$1,226.50	$1,518.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,219.08	Facility		$425.00	$581.00	$1,219.08
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $959.49 / $959.49 / $959.49	Facility	52	$959.49	$959.49	$959.49
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $119.94 / $119.94 / $119.94	Facility	AS	$119.94	$119.94	$119.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $1,219.08	Facility		$425.00	$562.00	$1,219.08
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $959.49 / $959.49 / $959.49	Facility	52	$959.49	$959.49	$959.49
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $119.94 / $119.94 / $119.94	Facility	AS	$119.94	$119.94	$119.94
United Facility/Professional Facility Modifier Low / Median / High Price $932.00 / $6,227.00 / $10,023.00	Facility		$932.00	$6,227.00	$10,023.00