Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.59 / $48.50 / $94.69	Facility	26	$29.59	$48.50	$94.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $119.53 / $217.75	Professional		$98.33	$119.53	$217.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.78 / $29.59 / $48.65	Professional	26	$23.78	$29.59	$48.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.18 / $125.43 / $220.99	Professional		$104.18	$125.43	$220.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.63 / $33.33 / $56.61	Professional	26	$26.63	$33.33	$56.61
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $156.27 / $189.17 / $331.68	Professional	50	$156.27	$189.17	$331.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $75.23 / $106.88	Professional		$31.63	$75.23	$106.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.45 / $34.86 / $34.86	Facility	26	$33.45	$34.86	$34.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $150.59 / $280.45	Professional		$97.97	$150.59	$280.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.08 / $38.70 / $64.09	Professional	26	$25.08	$38.70	$64.09
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $164.71 / $164.71 / $164.71	Professional	50	$164.71	$164.71	$164.71
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $33.45 / $33.45 / $34.86	Facility	26	$33.45	$33.45	$34.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $99.86 / $150.08 / $247.83	Professional		$99.86	$150.08	$247.83
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $26.68 / $39.10 / $64.09	Professional	26	$26.68	$39.10	$64.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $88.46 / $175.61	Professional		$40.51	$88.46	$175.61
United Facility/Professional Professional Modifier Low / Median / High Price $102.71 / $138.58 / $256.76	Professional		$102.71	$138.58	$256.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.20 / $33.04 / $57.20	Professional	26	$24.20	$33.04	$57.20