Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.37 / $8,913.00 / $16,826.00	Facility		$927.37	$8,913.00	$16,826.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $253.38 / $463.82 / $820.02	Facility	52	$253.38	$463.82	$820.02
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $101.35 / $185.53 / $328.01	Facility	53	$101.35	$185.53	$328.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $6,080.00 / $31,549.00	Facility		$1,895.00	$6,080.00	$31,549.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $503.44 / $503.44 / $733.08	Facility		$503.44	$503.44	$733.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,613.00 / $20,065.00 / $23,000.00	Facility		$11,613.00	$20,065.00	$23,000.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9,046.00 / $19,503.00 / $21,036.00	Facility		$9,046.00	$19,503.00	$21,036.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $9,125.00 / $26,202.00	Facility		$4,070.00	$9,125.00	$26,202.00