Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.57 / $24.61 / $62.48	Facility	26	$17.57	$24.61	$62.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $88.76 / $164.01	Professional		$71.84	$88.76	$164.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.29 / $169.29 / $169.29	Professional		$169.29	$169.29	$169.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $81.80 / $139.40	Professional		$65.34	$81.80	$139.40
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $95.66 / $95.66 / $95.66	Professional		$95.66	$95.66	$95.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $70.38 / $89.18	Professional		$18.80	$70.38	$89.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.81 / $20.81 / $22.34	Facility	26	$20.81	$20.81	$22.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.83 / $103.45 / $195.19	Professional		$70.83	$103.45	$195.19
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $20.81 / $20.81 / $22.34	Facility	26	$20.81	$20.81	$22.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.83 / $103.50 / $181.60	Professional		$70.83	$103.50	$181.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $72.69 / $102.15	Professional		$55.10	$72.69	$102.15
United Facility/Professional Professional Modifier Low / Median / High Price $63.63 / $93.03 / $169.89	Professional		$63.63	$93.03	$169.89