Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.14 / $4,723.00 / $11,627.00	Facility		$1,037.14	$4,723.00	$11,627.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $518.57 / $771.12 / $1,735.71	Facility	52	$518.57	$771.12	$1,735.71
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 $993.20 / $1,191.83 / $1,475.16	Facility		$993.20	$1,191.83	$1,475.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,187.10 / $21,571.00	Facility		$425.00	$1,187.10	$21,571.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $931.75 / $931.75 / $931.75	Facility	52	$931.75	$931.75	$931.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $116.47 / $116.47 / $116.47	Facility	AS	$116.47	$116.47	$116.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,200.00	Facility		$425.00	$600.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $931.75 / $931.75 / $931.75	Facility	52	$931.75	$931.75	$931.75
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $116.47 / $116.47 / $116.47	Facility	AS	$116.47	$116.47	$116.47
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $2,883.00 / $6,111.00	Facility		$650.00	$2,883.00	$6,111.00