Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.46 / $32.32 / $84.43	Facility	26	$23.46	$32.32	$84.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $114.93 / $225.99	Professional		$69.48	$114.93	$225.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $31.74 / $63.09	Professional	26	$16.71	$31.74	$63.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.62 / $19.62 / $36.94	Professional	26	$4.62	$19.62	$36.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.60 / $144.52 / $267.36	Professional		$97.60	$144.52	$267.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.39 / $23.70 / $40.78	Professional	26	$18.39	$23.70	$40.78
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $83.27 / $83.27	Professional		$83.27	$83.27	$83.27
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $27.25 / $27.25 / $27.25	Professional	26	$27.25	$27.25	$27.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $60.05 / $102.03	Professional		$25.40	$60.05	$102.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.80 / $27.80 / $30.35	Facility	26	$27.80	$27.80	$30.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $117.66 / $212.51	Professional		$66.90	$117.66	$212.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $27.42 / $51.32	Professional	26	$19.05	$27.42	$51.32
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $27.80 / $27.80 / $30.35	Facility	26	$27.80	$27.80	$30.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $113.65 / $207.96	Professional		$66.90	$113.65	$207.96
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $20.22 / $28.89 / $54.77	Professional	26	$20.22	$28.89	$54.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $82.13 / $131.63	Professional		$40.43	$82.13	$131.63
United Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $97.59 / $231.17	Professional		$68.41	$97.59	$231.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.21 / $28.26 / $48.91	Professional	26	$17.21	$28.26	$48.91