Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.07 / $81.70 / $178.17	Facility	26	$48.07	$81.70	$178.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.92 / $129.07 / $301.81	Professional		$105.92	$129.07	$301.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.49 / $93.22 / $168.67	Professional		$86.49	$93.22	$168.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $133.51 / $199.64	Professional		$100.16	$133.51	$199.64
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $127.58 / $165.85	Professional		$127.58	$127.58	$165.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $79.83 / $147.32	Professional		$51.38	$79.83	$147.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $149.21 / $242.20	Professional		$104.35	$149.21	$242.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $102.72 / $145.47 / $231.39	Professional		$102.72	$145.47	$231.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $82.15 / $132.19	Professional		$40.43	$82.15	$132.19
United Facility/Professional Professional Modifier Low / Median / High Price $98.21 / $133.46 / $206.23	Professional		$98.21	$133.46	$206.23