Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.88 / $136.87 / $267.22	Facility	26	$79.88	$136.87	$267.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $370.50 / $700.00	Professional		$271.60	$370.50	$700.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $497.96 / $497.96 / $497.96	Professional		$497.96	$497.96	$497.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.81 / $396.14 / $682.42	Professional		$295.81	$396.14	$682.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $185.22 / $294.13	Professional		$79.34	$185.22	$294.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.56 / $87.60 / $87.60	Facility	26	$79.56	$87.60	$87.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.57 / $465.00 / $901.29	Professional		$255.57	$465.00	$901.29
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $79.56 / $79.56 / $87.60	Facility	26	$79.56	$79.56	$87.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $255.61 / $446.14 / $917.65	Professional		$255.61	$446.14	$917.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $209.12 / $343.84	Professional		$98.87	$209.12	$343.84
United Facility/Professional Professional Modifier Low / Median / High Price $265.72 / $371.58 / $750.00	Professional		$265.72	$371.58	$750.00