Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,021.45 / $5,201.00 / $11,627.00	Facility		$1,021.45	$5,201.00	$11,627.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $515.19 / $766.09 / $1,666.20	Facility	54	$515.19	$766.09	$1,666.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $824.85 / $1,011.24 / $1,525.80	Facility		$824.85	$1,011.24	$1,525.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.27 / $1,124.08 / $21,571.00	Facility		$767.27	$1,124.08	$21,571.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $537.09 / $537.09 / $537.09	Facility	54	$537.09	$537.09	$537.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,124.08 / $1,124.08 / $1,253.49	Facility		$1,124.08	$1,124.08	$1,253.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,072.00 / $6,522.00	Facility		$1,981.00	$4,072.00	$6,522.00