Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.68 / $24.98 / $48.77	Facility	26	$14.68	$24.98	$48.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.83 / $94.77 / $158.18	Professional		$64.83	$94.77	$158.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.23 / $14.68 / $25.62	Professional	26	$12.23	$14.68	$25.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.01 / $75.12 / $134.02	Professional		$54.01	$75.12	$134.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.73 / $18.53 / $33.00	Professional	26	$15.73	$18.53	$33.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $85.29 / $100.98	Professional		$15.69	$85.29	$100.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.57	Facility	26	$17.36	$17.36	$17.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $108.78 / $203.94	Professional		$73.37	$108.78	$203.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.87 / $19.96 / $33.59	Professional	26	$12.87	$19.96	$33.59
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.57	Facility	26	$17.36	$17.36	$17.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $108.78 / $192.78	Professional		$75.13	$108.78	$192.78
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $14.15 / $19.96 / $33.28	Professional	26	$14.15	$19.96	$33.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $108.74 / $153.23	Professional		$79.56	$108.74	$153.23
United Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $94.28 / $166.13	Professional		$60.83	$94.28	$166.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.53 / $17.43 / $29.72	Professional	26	$12.53	$17.43	$29.72