Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,160.80 / $7,204.00 / $12,615.00	Facility		$1,160.80	$7,204.00	$12,615.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $316.54 / $580.40 / $1,026.02	Facility	52	$316.54	$580.40	$1,026.02
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $126.61 / $232.16 / $410.41	Facility	53	$126.61	$232.16	$410.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $9,287.00 / $36,529.00	Facility		$2,097.00	$9,287.00	$36,529.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $628.60 / $628.60 / $915.32	Facility		$628.60	$628.60	$915.32
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