Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.24 / $38.09 / $74.48	Facility	26	$21.24	$38.09	$74.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $44.06 / $92.69	Professional		$40.90	$44.06	$92.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.54 / $21.24 / $44.13	Professional	26	$19.54	$21.24	$44.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $73.73 / $132.55	Professional		$55.15	$73.73	$132.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.24 / $34.29 / $58.65	Professional	26	$26.24	$34.29	$58.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $26.16 / $53.11	Professional		$23.02	$26.16	$53.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $75.41 / $131.88	Professional		$42.53	$75.41	$131.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.58 / $32.13 / $54.30	Professional	26	$20.58	$32.13	$54.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $70.80 / $133.01	Professional		$42.53	$70.80	$133.01
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $20.92 / $31.93 / $54.88	Professional	26	$20.92	$31.93	$54.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $36.24 / $51.00	Professional		$26.07	$36.24	$51.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $57.37 / $97.85	Professional		$42.98	$57.37	$97.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.94 / $27.27 / $42.21	Professional	26	$19.94	$27.27	$42.21