Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $107.15 / $239.88	Facility	26	$74.13	$107.15	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $1,047.13	Professional		$398.11	$524.81	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $89.13 / $173.78	Professional	26	$70.79	$89.13	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $707.95	Professional		$338.84	$426.58	$707.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $89.13 / $147.91	Professional	26	$74.13	$89.13	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $870.96	Professional		$389.05	$537.03	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $93.33 / $158.49	Professional	26	$66.07	$93.33	$158.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $933.25	Professional		$389.05	$549.54	$933.25
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $95.50 / $162.18	Professional	26	$67.61	$95.50	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $912.01	Professional		$416.87	$489.78	$912.01
SummaCare Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $85.11 / $158.49	Professional	26	$72.44	$85.11	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $616.60	Professional		$338.84	$446.68	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $75.86 / $104.71	Professional	26	$56.23	$75.86	$104.71