Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.93 / $106.70 / $208.31	Facility	26	$60.93	$106.70	$208.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.16 / $225.40 / $430.65	Professional		$193.16	$225.40	$430.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.76 / $60.96 / $121.12	Professional	26	$56.76	$60.96	$121.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.52 / $148.52 / $148.52	Professional		$148.52	$148.52	$148.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.08 / $46.31 / $78.89	Professional	26	$45.08	$46.31	$78.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.24 / $284.80 / $494.23	Professional		$234.24	$284.80	$494.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.70 / $70.70 / $126.78	Professional	26	$63.70	$70.70	$126.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $136.22 / $220.01	Professional		$61.99	$136.22	$220.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.03 / $68.70 / $68.70	Facility	26	$62.03	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.37 / $333.69 / $647.84	Professional		$191.37	$333.69	$647.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.21 / $80.54 / $137.13	Professional	26	$52.21	$80.54	$137.13
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $62.03 / $62.03 / $68.70	Facility	26	$62.03	$62.03	$68.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $191.37 / $324.33 / $659.77	Professional		$191.37	$324.33	$659.77
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $57.13 / $82.80 / $137.13	Professional	26	$57.13	$82.80	$137.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $162.86 / $261.30	Professional		$40.46	$162.86	$261.30
United Facility/Professional Professional Modifier Low / Median / High Price $210.47 / $284.58 / $520.99	Professional		$210.47	$284.58	$520.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.96 / $72.02 / $129.91	Professional	26	$52.96	$72.02	$129.91