Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $52.48 / $186.21	Facility	26	$37.15	$52.48	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $229.09	Professional		$57.54	$75.86	$229.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $120.23 / $120.23	Professional	50	$120.23	$120.23	$120.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $85.11 / $85.11	Professional	50	$85.11	$85.11	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $275.42	Professional		$125.89	$177.83	$275.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $269.15 / $407.38	Professional	50	$186.21	$269.15	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $141.25 / $269.15	Professional		$69.18	$141.25	$269.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $138.04 / $275.42	Professional		$67.61	$138.04	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $43.65	Professional		$32.36	$33.11	$43.65
SummaCare Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $162.18 / $162.18	Facility	26	$162.18	$162.18	$162.18
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $151.36	Professional		$67.61	$85.11	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $190.55	Professional		$72.44	$109.65	$190.55