Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.14 / $120.31 / $238.36	Facility	26	$66.14	$120.31	$238.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.86 / $212.03 / $475.00	Professional		$195.86	$212.03	$475.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.24 / $160.24 / $401.71	Professional		$160.24	$160.24	$401.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.13 / $257.91 / $471.97	Professional		$201.13	$257.91	$471.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.65 / $143.36 / $214.02	Professional		$70.65	$143.36	$214.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.98 / $78.34 / $78.34	Facility	26	$70.98	$78.34	$78.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.82 / $301.85 / $512.85	Professional		$197.82	$301.85	$512.85
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $70.98 / $70.98 / $78.34	Facility	26	$70.98	$70.98	$78.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $206.52 / $303.83 / $502.81	Professional		$206.52	$303.83	$502.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $141.83 / $254.26	Professional		$65.62	$141.83	$254.26
United Facility/Professional Professional Modifier Low / Median / High Price $224.12 / $328.38 / $881.58	Professional		$224.12	$328.38	$881.58