Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.56 / $7,625.00 / $14,033.75	Facility		$960.56	$7,625.00	$14,033.75
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,626.38 / $5,916.24 / $16,796.00	Facility	50	$4,626.38	$5,916.24	$16,796.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,938.00 / $4,421.00 / $25,522.00	Facility		$1,938.00	$4,421.00	$25,522.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $540.51 / $702.66 / $1,053.99	Facility		$540.51	$702.66	$1,053.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.98 / $3,969.14 / $5,819.95	Facility		$643.98	$3,969.14	$5,819.95
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $643.98 / $4,145.10 / $12,242.22	Facility		$643.98	$4,145.10	$12,242.22
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
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