Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.20 / $136.87 / $267.22	Facility	26	$80.20	$136.87	$267.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.71 / $367.50 / $700.00	Professional		$340.71	$367.50	$700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.62 / $410.25 / $684.96	Professional		$317.62	$410.25	$684.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $251.34 / $371.71	Professional		$79.34	$251.34	$371.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.56 / $87.95 / $87.95	Facility	26	$79.56	$87.95	$87.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $525.00 / $998.10	Professional		$319.80	$525.00	$998.10
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $79.56 / $79.56 / $87.95	Facility	26	$79.56	$79.56	$87.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $322.10 / $525.00 / $1,006.69	Professional		$322.10	$525.00	$1,006.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $270.54 / $436.79	Professional		$98.87	$270.54	$436.79
United Facility/Professional Professional Modifier Low / Median / High Price $350.02 / $468.56 / $792.52	Professional		$350.02	$468.56	$792.52