Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $56.23 / $141.25	Facility	26	$39.81	$56.23	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $204.17	Professional		$79.43	$102.33	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $38.90 / $75.86	Professional	26	$32.36	$38.90	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $199.53	Professional		$95.50	$125.89	$199.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $54.95 / $89.13	Professional	26	$41.69	$54.95	$89.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $47.86 / $67.61	Facility	26	$10.23	$47.86	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $223.87	Professional		$87.10	$131.83	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $54.95 / $91.20	Professional	26	$36.31	$54.95	$91.20
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $47.86 / $67.61	Facility	26	$10.23	$47.86	$67.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $229.09	Professional		$85.11	$125.89	$229.09
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $53.70 / $93.33	Professional	26	$35.48	$53.70	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $37.15	Professional		$32.36	$33.11	$37.15
SummaCare Facility/Professional Facility Modifier 26 Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	26	$295.12	$295.12	$295.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $239.88	Professional		$109.65	$134.90	$239.88
SummaCare Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $52.48 / $93.33	Professional	26	$41.69	$52.48	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $186.21	Professional		$83.18	$112.20	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $44.67 / $79.43	Professional	26	$33.88	$44.67	$79.43