Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.06 / $129.31 / $275.42	Facility	26	$76.06	$129.31	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.81 / $243.28 / $896.64	Professional		$215.81	$243.28	$896.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.58 / $228.14 / $285.18	Professional		$185.58	$228.14	$285.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $183.81 / $349.19	Professional		$114.20	$183.81	$349.19
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $300.43 / $300.43 / $300.43	Professional		$300.43	$300.43	$300.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $196.98 / $316.27	Professional		$80.98	$196.98	$316.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.09 / $300.43 / $511.60	Professional		$188.09	$300.43	$511.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $196.44 / $291.48 / $485.31	Professional		$196.44	$291.48	$485.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.04 / $181.23 / $338.97	Professional		$100.04	$181.23	$338.97
United Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $283.99 / $469.15	Professional		$176.54	$283.99	$469.15