Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.89 / $91.31 / $180.89	Facility	26	$50.89	$91.31	$180.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.68 / $232.76 / $436.70	Professional		$221.68	$232.76	$436.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.75 / $256.30 / $384.66	Professional		$208.75	$256.30	$384.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.63 / $189.79 / $247.43	Professional		$57.63	$189.79	$247.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.70 / $86.70 / $86.70	Facility	26	$86.70	$86.70	$86.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.90 / $298.94 / $524.38	Professional		$221.90	$298.94	$524.38
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $86.70 / $86.70 / $86.70	Facility	26	$86.70	$86.70	$86.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $216.21 / $298.94 / $503.86	Professional		$216.21	$298.94	$503.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.35 / $209.37 / $324.18	Professional		$68.35	$209.37	$324.18
United Facility/Professional Professional Modifier Low / Median / High Price $182.58 / $262.08 / $464.91	Professional		$182.58	$262.08	$464.91