Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.95 / $66.09 / $140.02	Facility	26	$39.95	$66.09	$140.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.03 / $102.16 / $182.22	Professional		$74.03	$102.16	$182.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.40 / $39.95 / $71.19	Professional	26	$32.40	$39.95	$71.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $116.01 / $195.95	Professional		$94.85	$116.01	$195.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.04 / $50.60 / $88.37	Professional	26	$42.04	$50.60	$88.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $68.11 / $111.42	Professional		$43.31	$68.11	$111.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.27 / $47.27 / $49.77	Facility	26	$47.27	$47.27	$49.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $131.59 / $227.99	Professional		$89.37	$131.59	$227.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $54.37 / $90.49	Professional	26	$36.22	$54.37	$90.49
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $47.27 / $47.27 / $49.77	Facility	26	$47.27	$47.27	$49.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $87.76 / $129.44 / $220.21	Professional		$87.76	$129.44	$220.21
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $39.00 / $54.63 / $88.89	Professional	26	$39.00	$54.63	$88.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $82.38 / $132.19	Professional		$40.46	$82.38	$132.19
United Facility/Professional Professional Modifier Low / Median / High Price $84.52 / $118.10 / $207.77	Professional		$84.52	$118.10	$207.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.15 / $48.31 / $83.58	Professional	26	$34.15	$48.31	$83.58