Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $60.26 / $147.91	Facility	26	$41.69	$60.26	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $234.42	Professional		$87.10	$109.65	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $316.23	Professional		$138.04	$186.21	$316.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $48.98 / $70.79	Facility	26	$10.47	$48.98	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $309.03	Professional		$93.33	$154.88	$309.03
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $48.98 / $70.79	Facility	26	$10.47	$48.98	$70.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $323.59	Professional		$91.20	$151.36	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $57.54	Professional		$32.36	$33.11	$57.54
SummaCare Facility/Professional Facility Modifier 26 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	26	$954.99	$954.99	$954.99
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $245.47	Professional		$109.65	$138.04	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $245.47	Professional		$91.20	$131.83	$245.47