Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $425.25 / $633.97 / $1,506.83	Facility	26	$425.25	$633.97	$1,506.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.75 / $831.40 / $1,616.86	Professional		$740.75	$831.40	$1,616.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $425.25 / $509.19 / $901.53	Professional	26	$425.25	$509.19	$901.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.94 / $957.38 / $1,412.10	Professional		$758.94	$957.38	$1,412.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $515.50 / $672.51 / $1,118.39	Professional	26	$515.50	$672.51	$1,118.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $458.06 / $481.64 / $939.70	Professional		$458.06	$481.64	$939.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $720.94 / $720.94 / $720.94	Facility	26	$720.94	$720.94	$720.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.30 / $1,135.96 / $2,077.12	Professional		$803.30	$1,135.96	$2,077.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $439.58 / $615.28 / $1,106.24	Professional	26	$439.58	$615.28	$1,106.24
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $720.94 / $720.94 / $720.94	Facility	26	$720.94	$720.94	$720.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $798.12 / $1,134.24 / $1,913.56	Professional		$798.12	$1,134.24	$1,913.56
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $446.61 / $656.58 / $1,216.36	Professional	26	$446.61	$656.58	$1,216.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $429.39 / $634.29 / $1,248.19	Professional		$429.39	$634.29	$1,248.19
United Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $943.25 / $1,684.08	Professional		$682.50	$943.25	$1,684.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $417.30 / $555.27 / $901.70	Professional	26	$417.30	$555.27	$901.70