Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.15 / $47.40 / $120.31	Facility	26	$33.15	$47.40	$120.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.09 / $139.01 / $341.02	Professional		$108.09	$139.01	$341.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $82.60 / $122.86	Professional		$82.41	$82.60	$122.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $117.02 / $180.26	Professional		$89.00	$117.02	$180.26
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $121.55 / $121.55 / $134.94	Professional		$121.55	$121.55	$134.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $88.54 / $140.90	Professional		$35.43	$88.54	$140.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $144.21 / $236.45	Professional		$97.86	$144.21	$236.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $100.73 / $144.21 / $236.45	Professional		$100.73	$144.21	$236.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $86.99 / $175.61	Professional		$40.43	$86.99	$175.61
United Facility/Professional Professional Modifier Low / Median / High Price $91.19 / $128.58 / $206.10	Professional		$91.19	$128.58	$206.10