Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.96 / $98.81 / $200.15	Facility	26	$53.96	$98.81	$200.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $135.01 / $386.68	Professional		$108.51	$135.01	$386.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $83.00 / $135.04	Professional		$83.00	$83.00	$135.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.12 / $136.93 / $226.40	Professional		$117.12	$136.93	$226.40
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $122.41 / $134.86 / $135.90	Professional		$122.41	$134.86	$135.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.43 / $73.01 / $140.05	Professional		$52.43	$73.01	$140.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $150.43 / $247.05	Professional		$105.74	$150.43	$247.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $104.91 / $150.13 / $238.70	Professional		$104.91	$150.13	$238.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $82.38 / $132.19	Professional		$40.58	$82.38	$132.19
United Facility/Professional Professional Modifier Low / Median / High Price $98.84 / $135.07 / $212.45	Professional		$98.84	$135.07	$212.45