Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.67 / $58.80 / $114.80	Facility	26	$36.67	$58.80	$114.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $91.60 / $176.25	Professional		$82.40	$91.60	$176.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $116.84 / $178.92	Professional		$101.10	$116.84	$178.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $55.47 / $107.53	Professional		$39.15	$55.47	$107.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.40 / $43.40 / $43.40	Facility	26	$43.40	$43.40	$43.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.02 / $128.19 / $212.35	Professional		$86.02	$128.19	$212.35
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $43.40 / $43.40 / $43.40	Facility	26	$43.40	$43.40	$43.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $87.06 / $129.03 / $208.23	Professional		$87.06	$129.03	$208.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $82.74 / $135.47	Professional		$40.46	$82.74	$135.47
United Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $104.98 / $159.44	Professional		$77.53	$104.98	$159.44