Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.59 / $4,085.00 / $9,863.00	Facility		$363.59	$4,085.00	$9,863.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,334.24 / $7,334.24 / $7,334.24	Facility	50	$7,334.24	$7,334.24	$7,334.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.20 / $227.04 / $354.75	Facility		$189.20	$227.04	$354.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,507.40 / $2,507.40 / $2,507.40	Facility		$2,507.40	$2,507.40	$2,507.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00