Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.97 / $150.49 / $293.82	Facility	26	$87.97	$150.49	$293.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.98 / $370.50 / $700.00	Professional		$281.98	$370.50	$700.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.09 / $111.15 / $293.82	Professional	26	$86.09	$111.15	$293.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.70 / $103.22 / $103.22	Professional	26	$62.70	$103.22	$103.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.75 / $412.20 / $742.57	Professional		$324.75	$412.20	$742.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.68 / $104.44 / $188.98	Professional	26	$93.68	$104.44	$188.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.34 / $187.48 / $274.83	Professional		$87.34	$187.48	$274.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.48 / $96.46 / $96.46	Facility	26	$87.48	$96.46	$96.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.83 / $442.72 / $905.94	Professional		$263.83	$442.72	$905.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.93 / $114.72 / $191.74	Professional	26	$75.93	$114.72	$191.74
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $87.48 / $87.48 / $96.46	Facility	26	$87.48	$87.48	$96.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $265.04 / $440.29 / $940.86	Professional		$265.04	$440.29	$940.86
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $80.18 / $115.31 / $190.99	Professional	26	$80.18	$115.31	$190.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $208.67 / $343.84	Professional		$98.87	$208.67	$343.84
United Facility/Professional Professional Modifier Low / Median / High Price $277.95 / $381.97 / $744.14	Professional		$277.95	$381.97	$744.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.59 / $100.81 / $179.08	Professional	26	$77.59	$100.81	$179.08