Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.82 / $95.28 / $186.07	Facility	26	$51.82	$95.28	$186.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.27 / $121.56 / $230.92	Professional		$107.27	$121.56	$230.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.03 / $259.49 / $454.92	Professional		$157.03	$259.49	$454.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $62.93 / $118.32	Professional		$55.39	$62.93	$118.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.14 / $61.14 / $64.95	Facility	26	$61.14	$61.14	$64.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.56 / $187.21 / $500.88	Professional		$107.56	$187.21	$500.88
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $61.14 / $61.14 / $64.95	Facility	26	$61.14	$61.14	$64.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $108.76 / $177.47 / $559.65	Professional		$108.76	$177.47	$559.65
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 $117.11 / $162.66 / $478.04	Professional		$117.11	$162.66	$478.04