Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.83 / $50.51 / $77.54	Facility	26	$36.83	$50.51	$77.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $115.56 / $214.91	Professional		$96.60	$115.56	$214.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.33 / $37.90 / $77.54	Professional	26	$21.33	$37.90	$77.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.75 / $121.75 / $121.75	Professional		$121.75	$121.75	$121.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.38 / $33.60 / $63.14	Professional	26	$28.38	$33.60	$63.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.43 / $91.85 / $161.41	Professional		$67.43	$91.85	$161.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.89 / $31.36 / $55.89	Professional	26	$23.89	$31.36	$55.89
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $128.16 / $128.16	Professional		$128.16	$128.16	$128.16
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $42.57 / $42.57 / $42.57	Professional	26	$42.57	$42.57	$42.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $79.78 / $119.47	Professional		$39.69	$79.78	$119.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.63 / $43.62 / $43.62	Facility	26	$27.63	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.16 / $138.13 / $252.58	Professional		$89.16	$138.13	$252.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.52 / $39.69 / $73.97	Professional	26	$25.52	$39.69	$73.97
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $27.63 / $27.63 / $43.62	Facility	26	$27.63	$27.63	$43.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $90.46 / $136.86 / $229.88	Professional		$90.46	$136.86	$229.88
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $25.91 / $42.64 / $80.23	Professional	26	$25.91	$42.64	$80.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $88.08 / $175.61	Professional		$40.51	$88.08	$175.61
United Facility/Professional Professional Modifier Low / Median / High Price $78.63 / $124.88 / $225.68	Professional		$78.63	$124.88	$225.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $41.10 / $75.34	Professional	26	$22.91	$41.10	$75.34