Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.33 / $8,553.00 / $17,075.24	Facility		$696.33	$8,553.00	$17,075.24
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $126.61 / $231.89 / $410.62	Facility	53	$126.61	$231.89	$410.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,982.00 / $27,051.00 / $47,438.36	Facility		$7,982.00	$27,051.00	$47,438.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $616.23 / $770.29 / $915.26	Facility		$616.23	$770.29	$915.26
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 / $31,434.00	Facility		$4,070.00	$9,125.00	$31,434.00