Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.37 / $131.21 / $256.45	Facility	26	$73.37	$131.21	$256.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.26 / $165.86 / $349.23	Professional		$148.26	$165.86	$349.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.17 / $73.37 / $174.84	Professional	26	$66.17	$73.37	$174.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.82 / $130.82 / $130.82	Professional		$130.82	$130.82	$130.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.79 / $189.63 / $323.93	Professional		$153.79	$189.63	$323.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.59 / $93.01 / $161.97	Professional	26	$75.59	$93.01	$161.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $96.36 / $175.07	Professional		$78.70	$96.36	$175.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.04 / $215.84 / $356.49	Professional		$149.04	$215.84	$356.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.31 / $99.87 / $158.30	Professional	26	$67.31	$99.87	$158.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $149.04 / $215.45 / $340.58	Professional		$149.04	$215.45	$340.58
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $71.55 / $100.17 / $160.27	Professional	26	$71.55	$100.17	$160.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.55 / $132.06 / $254.26	Professional		$86.55	$132.06	$254.26
United Facility/Professional Professional Modifier Low / Median / High Price $142.05 / $192.47 / $306.95	Professional		$142.05	$192.47	$306.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.09 / $86.56 / $142.38	Professional	26	$64.09	$86.56	$142.38