Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.51 / $123.40 / $240.92	Facility	26	$73.51	$123.40	$240.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.05 / $423.05 / $895.94	Professional		$423.05	$423.05	$895.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.51 / $73.51 / $155.84	Professional	26	$73.51	$73.51	$155.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.13 / $410.84 / $683.19	Professional		$335.13	$410.84	$683.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.55 / $86.29 / $153.75	Professional	26	$73.55	$86.29	$153.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $336.27 / $409.31	Professional		$73.04	$336.27	$409.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.57 / $554.00 / $919.54	Professional		$402.57	$554.00	$919.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.39 / $93.72 / $156.68	Professional	26	$67.39	$93.72	$156.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $402.57 / $562.39 / $910.98	Professional		$402.57	$562.39	$910.98
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $69.58 / $94.60 / $156.68	Professional	26	$69.58	$94.60	$156.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.11 / $363.56 / $597.83	Professional		$104.11	$363.56	$597.83
United Facility/Professional Professional Modifier Low / Median / High Price $358.78 / $459.73 / $694.50	Professional		$358.78	$459.73	$694.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.46 / $76.95 / $134.10	Professional	26	$61.46	$76.95	$134.10