Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.09 / $76.12 / $395.34	Facility		$57.09	$76.12	$395.34
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,326.09 / $2,043.48 / $2,939.30	Facility	25	$1,326.09	$2,043.48	$2,939.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.41 / $110.22 / $136.41	Facility		$90.41	$110.22	$136.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.66 / $111.66 / $111.66	Facility		$111.66	$111.66	$111.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.49 / $41.49 / $41.49	Facility		$41.49	$41.49	$41.49