Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.00 / $6,249.00 / $11,581.00	Facility		$1,610.00	$6,249.00	$11,581.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,681.00 / $1,681.00 / $1,681.00	Facility	50	$1,681.00	$1,681.00	$1,681.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $6,746.00 / $30,285.00	Facility		$2,670.00	$6,746.00	$30,285.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $987.87 / $1,267.84 / $1,683.86	Facility		$987.87	$1,267.84	$1,683.86
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 $1,255.08 / $1,255.08 / $1,255.08	Facility		$1,255.08	$1,255.08	$1,255.08
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $124.52 / $124.52 / $124.52	Facility	AS	$124.52	$124.52	$124.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $8,448.00 / $13,382.00	Facility		$4,227.00	$8,448.00	$13,382.00