Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.82 / $29.67 / $57.92	Facility	26	$22.82	$29.67	$57.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.22 / $133.41 / $277.69	Professional		$121.22	$133.41	$277.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $149.37 / $272.27	Professional		$55.75	$149.37	$272.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $106.36 / $131.44	Professional		$25.08	$106.36	$131.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.70 / $27.06 / $27.06	Facility	26	$20.70	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $119.50 / $250.94	Professional		$69.41	$119.50	$250.94
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $20.70 / $20.70 / $27.06	Facility	26	$20.70	$20.70	$27.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $122.23 / $225.57	Professional		$63.68	$122.23	$225.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $117.08 / $181.19	Professional		$40.43	$117.08	$181.19
United Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $147.08 / $371.63	Professional		$67.53	$147.08	$371.63