Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.98 / $151.19 / $295.20	Facility	26	$85.98	$151.19	$295.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.66 / $322.83 / $724.60	Professional		$250.66	$322.83	$724.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.03 / $90.49 / $181.00	Professional	26	$78.03	$90.49	$181.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.89 / $65.72 / $112.22	Professional	26	$62.89	$65.72	$112.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.85 / $316.37 / $525.61	Professional		$230.85	$316.37	$525.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.85 / $93.29 / $182.52	Professional	26	$60.85	$93.29	$182.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $211.52 / $299.70	Professional		$88.18	$211.52	$299.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.91 / $96.97 / $96.97	Facility	26	$87.91	$96.97	$96.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.07 / $436.03 / $852.14	Professional		$286.07	$436.03	$852.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.66 / $112.59 / $191.91	Professional	26	$73.66	$112.59	$191.91
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $87.91 / $87.91 / $96.97	Facility	26	$87.91	$87.91	$96.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $286.07 / $436.08 / $849.18	Professional		$286.07	$436.08	$849.18
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $80.65 / $115.86 / $191.91	Professional	26	$80.65	$115.86	$191.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $180.48 / $337.88	Professional		$98.87	$180.48	$337.88
United Facility/Professional Professional Modifier Low / Median / High Price $290.31 / $399.35 / $693.17	Professional		$290.31	$399.35	$693.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.50 / $100.64 / $177.56	Professional	26	$76.50	$100.64	$177.56