Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.50 / $38.25 / $80.98	Facility	26	$22.50	$38.25	$80.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.78 / $124.47 / $222.55	Professional		$96.78	$124.47	$222.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $22.50 / $47.70	Professional	26	$19.39	$22.50	$47.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $17.32 / $20.04	Professional	26	$17.32	$17.32	$20.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $104.77 / $184.98	Professional		$72.31	$104.77	$184.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.51 / $29.45 / $53.85	Professional	26	$24.51	$29.45	$53.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $106.73 / $130.41	Professional		$23.68	$106.73	$130.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.63 / $26.63 / $28.89	Facility	26	$26.63	$26.63	$28.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $147.27 / $270.47	Professional		$99.71	$147.27	$270.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $30.76 / $52.07	Professional	26	$20.30	$30.76	$52.07
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $26.63 / $26.63 / $28.89	Facility	26	$26.63	$26.63	$28.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $148.19 / $250.45	Professional		$101.92	$148.19	$250.45
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $22.07 / $31.21 / $49.51	Professional	26	$22.07	$31.21	$49.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $108.74 / $153.23	Professional		$79.56	$108.74	$153.23
United Facility/Professional Professional Modifier Low / Median / High Price $90.10 / $137.69 / $240.37	Professional		$90.10	$137.69	$240.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.10 / $27.96 / $47.71	Professional	26	$20.10	$27.96	$47.71