Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.98 / $37.15 / $93.51	Facility	26	$25.98	$37.15	$93.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $124.58 / $237.67	Professional		$94.17	$124.58	$237.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $100.08 / $183.09	Professional		$71.28	$100.08	$183.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.14 / $101.18 / $129.32	Professional		$28.14	$101.18	$129.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.72 / $30.72 / $33.22	Facility	26	$30.72	$30.72	$33.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.67 / $143.25 / $264.83	Professional		$97.67	$143.25	$264.83
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $30.72 / $30.72 / $33.22	Facility	26	$30.72	$30.72	$33.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $143.41 / $250.14	Professional		$99.93	$143.41	$250.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $117.26 / $181.19	Professional		$40.51	$117.26	$181.19
United Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $128.97 / $238.14	Professional		$83.51	$128.97	$238.14