Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.69 / $78.43 / $163.18	Facility	26	$57.69	$78.43	$163.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.58 / $206.84 / $384.67	Professional		$172.58	$206.84	$384.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $57.69 / $122.30	Professional	26	$42.60	$57.69	$122.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.42 / $45.06 / $50.41	Professional	26	$43.42	$45.06	$50.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.50 / $171.70 / $302.67	Professional		$118.50	$171.70	$302.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.02 / $62.29 / $103.78	Professional	26	$49.02	$62.29	$103.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.62 / $151.79 / $213.41	Professional		$61.62	$151.79	$213.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.21 / $68.29 / $68.29	Facility	26	$58.21	$68.29	$68.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.88 / $264.99 / $465.63	Professional		$169.88	$264.99	$465.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.88 / $69.23 / $125.49	Professional	26	$47.88	$69.23	$125.49
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $58.21 / $58.21 / $68.29	Facility	26	$58.21	$58.21	$68.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $172.60 / $252.21 / $421.55	Professional		$172.60	$252.21	$421.55
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $52.65 / $72.39 / $125.49	Professional	26	$52.65	$72.39	$125.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $184.53 / $279.66	Professional		$40.54	$184.53	$279.66
United Facility/Professional Professional Modifier Low / Median / High Price $125.59 / $232.86 / $419.32	Professional		$125.59	$232.86	$419.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.87 / $67.95 / $120.83	Professional	26	$44.87	$67.95	$120.83