Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.85 / $158.61 / $339.74	Facility	26	$95.85	$158.61	$339.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.55 / $238.11 / $433.12	Professional		$168.55	$238.11	$433.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.84 / $218.64 / $360.36	Professional		$174.84	$218.64	$360.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.07 / $155.31 / $294.75	Professional		$104.07	$155.31	$294.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.41 / $113.41 / $113.41	Facility	26	$113.41	$113.41	$113.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.76 / $292.39 / $495.19	Professional		$207.76	$292.39	$495.19
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $113.41 / $113.41 / $113.41	Facility	26	$113.41	$113.41	$113.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $207.81 / $294.75 / $475.73	Professional		$207.81	$294.75	$475.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $182.82 / $343.05	Professional		$101.83	$182.82	$343.05
United Facility/Professional Professional Modifier Low / Median / High Price $178.58 / $240.00 / $367.20	Professional		$178.58	$240.00	$367.20