Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.35 / $39.69 / $101.66	Facility	26	$23.35	$39.69	$101.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $73.14 / $205.30	Professional		$38.56	$73.14	$205.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.35 / $45.21 / $105.84	Professional	26	$23.35	$45.21	$105.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $46.60 / $54.83	Professional		$35.34	$46.60	$54.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.70 / $27.68 / $35.99	Professional	26	$24.70	$27.68	$35.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $54.64 / $87.36	Professional		$34.85	$54.64	$87.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.33 / $37.94 / $64.95	Professional	26	$27.33	$37.94	$64.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $37.36 / $66.31	Professional		$22.52	$37.36	$66.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $64.59 / $93.15	Professional		$45.55	$64.59	$93.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.70 / $42.49 / $59.67	Professional	26	$28.70	$42.49	$59.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $65.30 / $97.07	Professional		$43.72	$65.30	$97.07
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $42.90 / $61.72	Professional	26	$30.20	$42.90	$61.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.81 / $49.42 / $92.60	Professional		$30.81	$49.42	$92.60
United Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $56.94 / $96.28	Professional		$41.57	$56.94	$96.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.93 / $37.36 / $60.67	Professional	26	$27.93	$37.36	$60.67