Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.73 / $195.04 / $380.84	Facility	26	$114.73	$195.04	$380.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.05 / $370.50 / $620.50	Professional		$289.05	$370.50	$620.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.98 / $266.98 / $266.98	Professional		$266.98	$266.98	$266.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.33 / $416.11 / $823.04	Professional		$320.33	$416.11	$823.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.19 / $166.69 / $280.89	Professional		$114.19	$166.69	$280.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.73 / $125.89 / $125.89	Facility	26	$113.73	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.16 / $445.43 / $873.04	Professional		$270.16	$445.43	$873.04
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $113.73 / $113.73 / $125.89	Facility	26	$113.73	$113.73	$125.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $270.16 / $438.79 / $881.04	Professional		$270.16	$438.79	$881.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.04 / $178.70 / $337.88	Professional		$100.04	$178.70	$337.88
United Facility/Professional Professional Modifier Low / Median / High Price $269.80 / $366.26 / $650.80	Professional		$269.80	$366.26	$650.80