Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.80 / $7,625.00 / $11,735.00	Facility		$1,203.80	$7,625.00	$11,735.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $586.04 / $871.46 / $1,896.89	Facility	54	$586.04	$871.46	$1,896.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,304.00 / $3,175.00 / $8,800.00	Facility		$1,304.00	$3,175.00	$8,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $938.95 / $1,151.11 / $1,525.80	Facility		$938.95	$1,151.11	$1,525.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $872.76 / $1,124.08 / $21,571.00	Facility		$872.76	$1,124.08	$21,571.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $610.67 / $610.67 / $610.67	Facility	54	$610.67	$610.67	$610.67
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