Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.81 / $93.32 / $221.79	Facility	26	$64.81	$93.32	$221.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.03 / $90.03 / $158.46	Professional		$90.03	$90.03	$158.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.99 / $64.81 / $137.41	Professional	26	$61.99	$64.81	$137.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.83 / $50.83 / $50.83	Professional	26	$50.83	$50.83	$50.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $174.37 / $278.81	Professional		$114.82	$174.37	$278.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.75 / $95.87 / $154.13	Professional	26	$73.75	$95.87	$154.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $69.89 / $97.16	Professional		$27.27	$69.89	$97.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $134.63 / $371.08	Professional		$84.25	$134.63	$371.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.64 / $89.16 / $145.69	Professional	26	$62.64	$89.16	$145.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $134.81 / $377.51	Professional		$87.00	$134.81	$377.51
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $63.93 / $94.20 / $147.66	Professional	26	$63.93	$94.20	$147.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $56.09 / $95.85	Professional		$31.30	$56.09	$95.85
United Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $109.90 / $216.11	Professional		$84.25	$109.90	$216.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.10 / $78.47 / $114.93	Professional	26	$55.10	$78.47	$114.93