Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.13 / $175.49 / $344.86	Facility	26	$96.13	$175.49	$344.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.77 / $361.15 / $630.35	Professional		$311.77	$361.15	$630.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.04 / $267.04 / $267.04	Professional		$267.04	$267.04	$267.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.93 / $408.97 / $730.57	Professional		$318.93	$408.97	$730.57
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $363.20 / $363.20 / $363.20	Professional		$363.20	$363.20	$363.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $234.81 / $338.58	Professional		$103.76	$234.81	$338.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.64 / $113.82 / $113.82	Facility	26	$102.64	$113.82	$113.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.72 / $479.80 / $813.49	Professional		$312.72	$479.80	$813.49
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $102.64 / $102.64 / $113.82	Facility	26	$102.64	$102.64	$113.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $326.13 / $479.80 / $797.76	Professional		$326.13	$479.80	$797.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $245.73 / $425.35	Professional		$99.05	$245.73	$425.35
United Facility/Professional Professional Modifier Low / Median / High Price $342.07 / $517.85 / $989.64	Professional		$342.07	$517.85	$989.64