Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.83 / $33.08 / $78.62	Facility	26	$21.83	$33.08	$78.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.19 / $77.37 / $147.05	Professional		$73.19	$77.37	$147.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $73.34 / $125.17	Professional		$52.39	$73.34	$125.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $56.77 / $80.43	Professional		$23.66	$56.77	$80.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.82 / $25.82 / $28.02	Facility	26	$25.82	$25.82	$28.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $103.14 / $184.18	Professional		$65.23	$103.14	$184.18
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $25.82 / $25.82 / $28.02	Facility	26	$25.82	$25.82	$28.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $102.36 / $169.83	Professional		$70.89	$102.36	$169.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $72.49 / $102.15	Professional		$53.04	$72.49	$102.15
United Facility/Professional Professional Modifier Low / Median / High Price $58.87 / $98.71 / $176.23	Professional		$58.87	$98.71	$176.23