Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.76 / $158.44 / $320.55	Facility	26	$86.76	$158.44	$320.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.51 / $227.51 / $928.00	Professional		$162.51	$227.51	$928.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.76 / $105.84 / $258.02	Professional	26	$81.76	$105.84	$258.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $186.89 / $251.89	Professional		$133.31	$186.89	$251.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.45 / $89.58 / $118.03	Professional	26	$67.45	$89.58	$118.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.13 / $251.73 / $401.41	Professional		$203.13	$251.73	$401.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.12 / $119.51 / $189.42	Professional	26	$100.12	$119.51	$189.42
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $178.76 / $211.26 / $212.89	Professional		$178.76	$211.26	$212.89
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $92.74 / $109.60 / $110.45	Professional	26	$92.74	$109.60	$110.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.86 / $116.69 / $219.39	Professional		$83.86	$116.69	$219.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.91 / $241.35 / $407.44	Professional		$157.91	$241.35	$407.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.62 / $119.67 / $190.10	Professional	26	$82.62	$119.67	$190.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $230.54 / $407.44	Professional		$156.88	$230.54	$407.44
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $87.05 / $125.67 / $223.01	Professional	26	$87.05	$125.67	$223.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.01 / $130.13 / $213.92	Professional		$87.01	$130.13	$213.92
United Facility/Professional Professional Modifier Low / Median / High Price $150.07 / $205.99 / $329.46	Professional		$150.07	$205.99	$329.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.33 / $106.44 / $170.92	Professional	26	$77.33	$106.44	$170.92