Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.67 / $45.33 / $94.89	Facility	26	$26.67	$45.33	$94.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $68.62 / $271.47	Professional		$59.67	$68.62	$271.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $61.70 / $77.12	Professional		$49.98	$61.70	$77.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $86.30 / $140.41	Professional		$73.14	$86.30	$140.41
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $81.23 / $81.23	Professional		$81.23	$81.23	$81.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $47.55 / $85.09	Professional		$28.50	$47.55	$85.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.49 / $92.82 / $156.51	Professional		$62.49	$92.82	$156.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.49 / $89.56 / $156.04	Professional		$62.49	$89.56	$156.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $48.49 / $88.82	Professional		$29.46	$48.49	$88.82
United Facility/Professional Professional Modifier Low / Median / High Price $59.77 / $82.33 / $129.07	Professional		$59.77	$82.33	$129.07