Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.47 / $129.37 / $289.33	Facility	26	$90.47	$129.37	$289.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.60 / $182.39 / $352.14	Professional		$132.60	$182.39	$352.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.76 / $90.47 / $166.23	Professional	26	$77.76	$90.47	$166.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $93.73 / $93.73 / $132.32	Professional	26	$93.73	$93.73	$132.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.94 / $314.14 / $581.16	Professional		$187.94	$314.14	$581.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.31 / $111.70 / $200.98	Professional	26	$89.31	$111.70	$200.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $97.03 / $159.03	Professional		$62.00	$97.03	$159.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.77 / $106.81 / $106.81	Facility	26	$101.77	$106.81	$106.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.57 / $244.99 / $578.40	Professional		$144.57	$244.99	$578.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.72 / $121.67 / $197.59	Professional	26	$80.72	$121.67	$197.59
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $101.77 / $101.77 / $106.81	Facility	26	$101.77	$101.77	$106.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $240.14 / $687.95	Professional		$151.80	$240.14	$687.95
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $88.21 / $123.08 / $197.59	Professional	26	$88.21	$123.08	$197.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $112.62 / $173.11	Professional		$64.33	$112.62	$173.11
United Facility/Professional Professional Modifier Low / Median / High Price $151.02 / $210.40 / $544.65	Professional		$151.02	$210.40	$544.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.34 / $107.97 / $189.94	Professional	26	$79.34	$107.97	$189.94