Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $184.36 / $328.78 / $654.66	Facility	26	$184.36	$328.78	$654.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $627.83 / $1,090.26	Professional		$540.82	$627.83	$1,090.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $181.68 / $200.53 / $363.18	Professional	26	$181.68	$200.53	$363.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $151.88 / $193.65 / $265.79	Professional	26	$151.88	$193.65	$265.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.51 / $677.96 / $1,023.73	Professional		$528.51	$677.96	$1,023.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $184.33 / $229.07 / $344.52	Professional	26	$184.33	$229.07	$344.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.84 / $399.87 / $608.71	Professional		$208.84	$399.87	$608.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $313.33 / $313.33 / $313.33	Facility	26	$313.33	$313.33	$313.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.45 / $765.53 / $1,266.97	Professional		$544.45	$765.53	$1,266.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $190.49 / $261.85 / $437.99	Professional	26	$190.49	$261.85	$437.99
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $313.33 / $313.33 / $313.33	Facility	26	$313.33	$313.33	$313.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $544.45 / $764.93 / $1,239.54	Professional		$544.45	$764.93	$1,239.54
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $190.49 / $264.72 / $502.53	Professional	26	$190.49	$264.72	$502.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.93 / $442.01 / $780.32	Professional		$207.93	$442.01	$780.32
United Facility/Professional Professional Modifier Low / Median / High Price $478.86 / $680.90 / $1,163.64	Professional		$478.86	$680.90	$1,163.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $168.31 / $234.49 / $390.85	Professional	26	$168.31	$234.49	$390.85