Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.09 / $210.96 / $411.87	Facility	26	$120.09	$210.96	$411.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.56 / $292.62 / $521.92	Professional		$272.56	$292.62	$521.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.20 / $391.14 / $634.41	Professional		$311.20	$391.14	$634.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.23 / $340.80 / $464.04	Professional		$123.23	$340.80	$464.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.63 / $135.43 / $135.43	Facility	26	$122.63	$135.43	$135.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.96 / $611.67 / $1,078.22	Professional		$422.96	$611.67	$1,078.22
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $122.63 / $122.63 / $135.43	Facility	26	$122.63	$122.63	$135.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $439.57 / $604.11 / $970.95	Professional		$439.57	$604.11	$970.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $195.17 / $374.81	Professional		$127.42	$195.17	$374.81
United Facility/Professional Professional Modifier Low / Median / High Price $409.07 / $573.61 / $1,036.08	Professional		$409.07	$573.61	$1,036.08