Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.10 / $71.13 / $142.09	Facility	26	$38.10	$71.13	$142.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $103.95 / $256.87	Professional		$82.95	$103.95	$256.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.14 / $38.10 / $71.13	Professional	26	$33.14	$38.10	$71.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.51 / $159.11 / $298.64	Professional		$123.51	$159.11	$298.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.37 / $48.51 / $86.37	Professional	26	$42.37	$48.51	$86.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $69.41 / $126.53	Professional		$41.05	$69.41	$126.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.12 / $45.12 / $50.51	Facility	26	$45.12	$45.12	$50.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.29 / $150.41 / $337.01	Professional		$93.29	$150.41	$337.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.89 / $52.85 / $90.56	Professional	26	$34.89	$52.85	$90.56
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $45.12 / $45.12 / $50.51	Facility	26	$45.12	$45.12	$50.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $93.29 / $145.61 / $353.84	Professional		$93.29	$145.61	$353.84
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $37.50 / $52.85 / $86.65	Professional	26	$37.50	$52.85	$86.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $81.89 / $131.17	Professional		$40.43	$81.89	$131.17
United Facility/Professional Professional Modifier Low / Median / High Price $91.71 / $126.78 / $316.44	Professional		$91.71	$126.78	$316.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.94 / $47.42 / $83.60	Professional	26	$34.94	$47.42	$83.60