Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.23 / $127.90 / $251.23	Facility	26	$75.23	$127.90	$251.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.47 / $236.09 / $445.31	Professional		$217.47	$236.09	$445.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.66 / $225.66 / $225.66	Professional		$225.66	$225.66	$225.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.42 / $265.60 / $485.13	Professional		$195.42	$265.60	$485.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $128.78 / $206.86	Professional		$78.09	$128.78	$206.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $288.63 / $447.64	Professional		$194.57	$288.63	$447.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $288.66 / $456.81	Professional		$194.57	$288.66	$456.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $160.24 / $307.74	Professional		$102.20	$160.24	$307.74
United Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $277.37 / $446.69	Professional		$194.57	$277.37	$446.69