Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $15.20 / $501.00	Facility		$9.44	$15.20	$501.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $153.54 / $318.00 / $501.00	Facility	25	$153.54	$318.00	$501.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $12.49 / $16.29	Facility		$10.86	$12.49	$16.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $13.19 / $201.00	Facility		$13.19	$13.19	$201.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $201.00 / $320.05	Facility		$13.19	$201.00	$320.05