Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $6,998.30 / $13,910.58	Facility		$1,375.00	$6,998.30	$13,910.58
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $8,555.41 / $8,555.41 / $8,555.41	Facility	22	$8,555.41	$8,555.41	$8,555.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,807.79 / $8,773.95 / $14,742.00	Facility	50	$4,807.79	$8,773.95	$14,742.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $5,129.00 / $25,522.00	Facility		$2,291.00	$5,129.00	$25,522.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $619.25 / $774.06 / $919.75	Facility		$619.25	$774.06	$919.75
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 $1,919.58 / $4,011.85 / $7,809.48	Facility		$1,919.58	$4,011.85	$7,809.48
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00