Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.18 / $89.41 / $201.29	Facility	26	$58.18	$89.41	$201.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.08 / $261.20 / $484.67	Professional		$218.08	$261.20	$484.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $58.30 / $123.34	Professional	26	$52.46	$58.30	$123.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.18 / $185.18 / $185.18	Professional		$185.18	$185.18	$185.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.04 / $48.32 / $81.05	Professional	26	$43.04	$48.32	$81.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.29 / $280.74 / $461.99	Professional		$231.29	$280.74	$461.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.29 / $67.67 / $121.78	Professional	26	$61.29	$67.67	$121.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $187.81 / $265.20	Professional		$59.18	$187.81	$265.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.91 / $65.64 / $65.64	Facility	26	$59.91	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.77 / $367.93 / $667.65	Professional		$235.77	$367.93	$667.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.88 / $77.09 / $131.00	Professional	26	$49.88	$77.09	$131.00
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $59.91 / $59.91 / $65.64	Facility	26	$59.91	$59.91	$65.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $235.77 / $360.24 / $660.23	Professional		$235.77	$360.24	$660.23
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $54.57 / $78.00 / $129.52	Professional	26	$54.57	$78.00	$129.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.55 / $197.55 / $313.88	Professional		$40.55	$197.55	$313.88
United Facility/Professional Professional Modifier Low / Median / High Price $245.53 / $322.70 / $586.39	Professional		$245.53	$322.70	$586.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.34 / $69.19 / $122.24	Professional	26	$51.34	$69.19	$122.24