Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.47 / $87.43 / $170.69	Facility	26	$66.47	$87.43	$170.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $133.68 / $248.71	Professional		$111.36	$133.68	$248.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.90 / $139.38 / $229.39	Professional		$107.90	$139.38	$229.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $71.38 / $134.30	Professional		$62.93	$71.38	$134.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.36 / $78.58 / $78.58	Facility	26	$60.36	$78.58	$78.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.77 / $170.79 / $301.79	Professional		$109.77	$170.79	$301.79
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $60.36 / $60.36 / $78.58	Facility	26	$60.36	$60.36	$78.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $111.59 / $170.79 / $294.18	Professional		$111.59	$170.79	$294.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $82.38 / $132.19	Professional		$40.46	$82.38	$132.19
United Facility/Professional Professional Modifier Low / Median / High Price $102.56 / $145.55 / $254.45	Professional		$102.56	$145.55	$254.45