Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.97 / $97.51 / $242.00	Facility	26	$67.97	$97.51	$242.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.55 / $241.78 / $432.51	Professional		$219.55	$241.78	$432.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.01 / $216.96 / $347.47	Professional		$148.01	$216.96	$347.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.62 / $169.38 / $245.98	Professional		$76.62	$169.38	$245.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.80 / $115.80 / $115.80	Facility	26	$115.80	$115.80	$115.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.03 / $279.52 / $514.14	Professional		$202.03	$279.52	$514.14
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $115.80 / $115.80 / $115.80	Facility	26	$115.80	$115.80	$115.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $198.10 / $279.52 / $469.61	Professional		$198.10	$279.52	$469.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.35 / $182.82 / $306.95	Professional		$68.35	$182.82	$306.95
United Facility/Professional Professional Modifier Low / Median / High Price $161.28 / $229.37 / $423.07	Professional		$161.28	$229.37	$423.07