Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $47.86 / $117.49	Facility	26	$33.88	$47.86	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $181.97	Professional		$46.77	$61.66	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $34.67 / $74.13	Professional	26	$28.84	$34.67	$74.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	50	$144.54	$144.54	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $181.97	Professional		$87.10	$114.82	$181.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $60.26 / $95.50	Professional	26	$45.71	$60.26	$95.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $173.78 / $269.15	Professional	50	$131.83	$173.78	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $177.83	Professional		$53.70	$97.72	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $53.70 / $91.20	Professional	26	$32.36	$53.70	$91.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $97.72 / $177.83	Professional		$52.48	$97.72	$177.83
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $51.29 / $93.33	Professional	26	$30.90	$51.29	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $32.36 / $33.11	Professional		$31.62	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $125.89	Professional		$57.54	$70.79	$125.89
SummaCare Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $43.65 / $79.43	Professional	26	$35.48	$43.65	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $125.89	Professional		$52.48	$74.13	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $42.66 / $66.07	Professional	26	$30.20	$42.66	$66.07