Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.34 / $50.37 / $98.33	Facility	26	$27.34	$50.37	$98.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $86.82 / $164.81	Professional		$77.95	$86.82	$164.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $74.53 / $74.53	Professional		$74.53	$74.53	$74.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.65 / $107.78 / $168.96	Professional		$87.65	$107.78	$168.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $71.19 / $114.17	Professional		$29.23	$71.19	$114.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.51 / $118.84 / $192.01	Professional		$82.51	$118.84	$192.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $83.48 / $118.64 / $187.00	Professional		$83.48	$118.64	$187.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $81.81 / $132.19	Professional		$40.43	$81.81	$132.19
United Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $105.62 / $169.82	Professional		$76.31	$105.62	$169.82