Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.14 / $91.98 / $181.32	Facility	26	$50.14	$91.98	$181.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.47 / $152.27 / $284.63	Professional		$125.47	$152.27	$284.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.69 / $281.44 / $497.38	Professional		$182.69	$281.44	$497.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $90.89 / $144.44	Professional		$53.55	$90.89	$144.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.33 / $59.33 / $64.05	Facility	26	$59.33	$59.33	$64.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.51 / $216.98 / $522.63	Professional		$129.51	$216.98	$522.63
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $59.33 / $59.33 / $64.05	Facility	26	$59.33	$59.33	$64.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $210.10 / $560.04	Professional		$130.66	$210.10	$560.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $117.45 / $181.19	Professional		$40.54	$117.45	$181.19
United Facility/Professional Professional Modifier Low / Median / High Price $134.26 / $199.09 / $495.39	Professional		$134.26	$199.09	$495.39