Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.56 / $77.34 / $183.81	Facility	26	$51.56	$77.34	$183.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.53 / $131.83 / $247.04	Professional		$102.53	$131.83	$247.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.84 / $259.64 / $468.14	Professional		$152.84	$259.64	$468.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.80 / $59.37 / $115.16	Professional		$55.80	$59.37	$115.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.80 / $60.80 / $64.34	Facility	26	$60.80	$60.80	$64.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.69 / $180.94 / $501.19	Professional		$104.69	$180.94	$501.19
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $60.80 / $60.80 / $64.34	Facility	26	$60.80	$60.80	$64.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $105.51 / $172.74 / $559.84	Professional		$105.51	$172.74	$559.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $82.38 / $132.19	Professional		$40.54	$82.38	$132.19
United Facility/Professional Professional Modifier Low / Median / High Price $111.65 / $155.94 / $460.29	Professional		$111.65	$155.94	$460.29