Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.59 / $39.82 / $77.73	Facility	26	$21.59	$39.82	$77.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.91 / $208.47 / $410.68	Professional		$170.91	$208.47	$410.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $135.97 / $288.87	Professional		$100.80	$135.97	$288.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $153.44 / $217.65	Professional		$23.08	$153.44	$217.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.26 / $238.78 / $414.21	Professional		$151.26	$238.78	$414.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $140.25 / $237.44 / $380.80	Professional		$140.25	$237.44	$380.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.53 / $219.38 / $306.05	Professional		$163.53	$219.38	$306.05
United Facility/Professional Professional Modifier Low / Median / High Price $121.14 / $215.19 / $336.72	Professional		$121.14	$215.19	$336.72