Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,851.00 / $11,627.00	Facility		$1,000.00	$5,851.00	$11,627.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,108.00 / $9,108.00 / $9,108.00	Facility	50	$9,108.00	$9,108.00	$9,108.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $366.93 / $440.32 / $687.99	Facility		$366.93	$440.32	$687.99
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 $1,754.43 / $4,180.24 / $8,820.48	Facility		$1,754.43	$4,180.24	$8,820.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,392.00 / $10,075.00	Facility		$3,206.00	$6,392.00	$10,075.00