Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.24 / $87.64 / $208.31	Facility	26	$61.24	$87.64	$208.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.79 / $228.07 / $581.46	Professional		$193.79	$228.07	$581.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.47 / $64.00 / $110.06	Professional	26	$56.47	$64.00	$110.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.31 / $45.56 / $71.15	Professional	26	$45.31	$45.56	$71.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.92 / $285.11 / $494.23	Professional		$236.92	$285.11	$494.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.70 / $70.80 / $126.78	Professional	26	$63.70	$70.80	$126.78
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $215.06 / $215.06 / $215.06	Professional		$215.06	$215.06	$215.06
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $66.84 / $66.84 / $66.84	Professional	26	$66.84	$66.84	$66.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $138.16 / $222.11	Professional		$62.30	$138.16	$222.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.03 / $69.05 / $69.05	Facility	26	$62.03	$69.05	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.63 / $336.88 / $648.67	Professional		$192.63	$336.88	$648.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $80.83 / $136.29	Professional	26	$52.48	$80.83	$136.29
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $62.03 / $62.03 / $69.05	Facility	26	$62.03	$62.03	$69.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $192.63 / $326.77 / $663.24	Professional		$192.63	$326.77	$663.24
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $57.41 / $82.29 / $136.29	Professional	26	$57.41	$82.29	$136.29
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 $203.77 / $284.58 / $524.97	Professional		$203.77	$284.58	$524.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.02 / $71.50 / $125.73	Professional	26	$50.02	$71.50	$125.73