Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.55 / $148.41 / $303.14	Facility	26	$81.55	$148.41	$303.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.56 / $179.89 / $404.65	Professional		$145.56	$179.89	$404.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.80 / $169.80 / $212.26	Professional		$169.80	$169.80	$212.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.49 / $149.04 / $275.89	Professional		$102.49	$149.04	$275.89
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $225.90 / $225.90 / $225.90	Professional		$225.90	$225.90	$225.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $102.52 / $189.68	Professional		$87.18	$102.52	$189.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.44 / $243.10 / $403.60	Professional		$162.44	$243.10	$403.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $163.82 / $242.99 / $397.73	Professional		$163.82	$242.99	$397.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.27 / $131.92 / $254.26	Professional		$86.27	$131.92	$254.26
United Facility/Professional Professional Modifier Low / Median / High Price $151.85 / $218.66 / $347.44	Professional		$151.85	$218.66	$347.44