Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $51.29 / $114.82	Facility	26	$36.31	$51.29	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $208.93	Professional		$81.28	$97.72	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $186.21	Professional		$100.00	$117.49	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $44.67	Professional		$38.90	$38.90	$44.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $42.66 / $61.66	Facility	26	$9.12	$42.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $229.09	Professional		$85.11	$131.83	$229.09
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $42.66 / $61.66	Facility	26	$9.12	$42.66	$61.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $245.47	Professional		$81.28	$128.82	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $53.70	Professional		$32.36	$33.11	$53.70
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $204.17	Professional		$93.33	$109.65	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $138.04	Professional		$75.86	$102.33	$138.04