Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $44.66 / $89.18	Facility	26	$24.55	$44.66	$89.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.23 / $97.41 / $207.42	Professional		$92.23	$97.41	$207.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.46 / $229.66 / $404.63	Professional		$131.46	$229.66	$404.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $78.20 / $111.16	Professional		$26.19	$78.20	$111.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.00 / $29.00 / $31.67	Facility	26	$29.00	$29.00	$31.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $159.34 / $469.27	Professional		$94.25	$159.34	$469.27
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $29.00 / $29.00 / $31.67	Facility	26	$29.00	$29.00	$31.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $94.91 / $151.85 / $509.03	Professional		$94.91	$151.85	$509.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $88.46 / $175.61	Professional		$40.51	$88.46	$175.61
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $140.75 / $423.86	Professional		$101.60	$140.75	$423.86