Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.28 / $49.06 / $95.78	Facility	26	$26.28	$49.06	$95.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.72 / $118.21 / $225.35	Professional		$89.72	$118.21	$225.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $114.46 / $195.90	Professional		$87.18	$114.46	$195.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $94.70 / $122.79	Professional		$28.09	$94.70	$122.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.07 / $31.07 / $33.84	Facility	26	$31.07	$31.07	$33.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $139.53 / $270.31	Professional		$99.39	$139.53	$270.31
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $31.07 / $31.07 / $33.84	Facility	26	$31.07	$31.07	$33.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $139.53 / $238.19	Professional		$98.54	$139.53	$238.19
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 $91.13 / $134.41 / $236.99	Professional		$91.13	$134.41	$236.99