Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.18 / $58.54 / $119.13	Facility	26	$32.18	$58.54	$119.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $96.53 / $357.00	Professional		$80.43	$96.53	$357.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.88 / $84.88 / $98.21	Professional		$84.88	$84.88	$98.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $107.40 / $173.51	Professional		$91.10	$107.40	$173.51
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $104.32 / $104.32 / $104.32	Professional		$104.32	$104.32	$104.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $62.88 / $108.40	Professional		$34.40	$62.88	$108.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $115.35 / $183.16	Professional		$79.58	$115.35	$183.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $113.38 / $180.68	Professional		$78.73	$113.38	$180.68
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 $75.01 / $100.69 / $160.56	Professional		$75.01	$100.69	$160.56