Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.07 / $158.06 / $314.72	Facility	26	$89.07	$158.06	$314.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.65 / $288.72 / $550.72	Professional		$233.65	$288.72	$550.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.02 / $285.02 / $455.03	Professional		$208.02	$285.02	$455.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.43 / $223.22 / $323.64	Professional		$100.43	$223.22	$323.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $150.55 / $150.55 / $150.55	Facility	26	$150.55	$150.55	$150.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.14 / $367.79 / $680.02	Professional		$265.14	$367.79	$680.02
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $150.55 / $150.55 / $150.55	Facility	26	$150.55	$150.55	$150.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $259.72 / $367.79 / $617.88	Professional		$259.72	$367.79	$617.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.96 / $257.84 / $442.42	Professional		$103.96	$257.84	$442.42
United Facility/Professional Professional Modifier Low / Median / High Price $219.49 / $308.92 / $554.72	Professional		$219.49	$308.92	$554.72