Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.25 / $61.34 / $154.96	Facility	26	$41.25	$61.34	$154.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $87.67 / $187.03	Professional		$75.31	$87.67	$187.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $50.13 / $104.24	Professional	26	$40.90	$50.13	$104.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.68 / $99.56 / $179.79	Professional		$74.68	$99.56	$179.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.93 / $50.84 / $93.38	Professional	26	$38.93	$50.84	$93.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $48.62 / $89.50	Professional		$40.89	$48.62	$89.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.19 / $120.35 / $176.62	Professional		$86.19	$120.35	$176.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.61 / $66.72 / $96.14	Professional	26	$48.61	$66.72	$96.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $84.60 / $122.53 / $172.57	Professional		$84.60	$122.53	$172.57
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $50.82 / $66.88 / $96.14	Professional	26	$50.82	$66.88	$96.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $49.90 / $137.73	Professional		$31.30	$49.90	$137.73
United Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $109.84 / $183.39	Professional		$76.23	$109.84	$183.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.03 / $63.84 / $102.57	Professional	26	$45.03	$63.84	$102.57