Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,337.59 / $5,858.97 / $12,353.00	Facility		$1,337.59	$5,858.97	$12,353.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $571.42 / $849.71 / $1,839.17	Facility	54	$571.42	$849.71	$1,839.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,175.00 / $8,800.00	Facility		$1,152.00	$3,175.00	$8,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $915.59 / $1,122.48 / $1,525.80	Facility		$915.59	$1,122.48	$1,525.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.89 / $1,124.08 / $21,571.00	Facility		$851.89	$1,124.08	$21,571.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $596.32 / $596.32 / $596.32	Facility	54	$596.32	$596.32	$596.32
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