Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.19 / $65.86 / $128.58	Facility	26	$36.19	$65.86	$128.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $247.76 / $488.08	Professional		$149.37	$247.76	$488.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.96 / $37.07 / $116.73	Professional	26	$34.96	$37.07	$116.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $272.08 / $272.08	Professional		$272.08	$272.08	$272.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.37 / $28.37 / $28.37	Professional	26	$28.37	$28.37	$28.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.18 / $205.51 / $371.23	Professional		$160.18	$205.51	$371.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.95 / $46.78 / $81.44	Professional	26	$39.95	$46.78	$81.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $221.24 / $260.48	Professional		$39.01	$221.24	$260.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.14 / $319.86 / $633.30	Professional		$212.14	$319.86	$633.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.65 / $50.56 / $86.86	Professional	26	$35.65	$50.56	$86.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $199.89 / $307.57 / $593.50	Professional		$199.89	$307.57	$593.50
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $35.65 / $50.62 / $83.85	Professional	26	$35.65	$50.62	$83.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $265.92 / $391.53	Professional		$41.71	$265.92	$391.53
United Facility/Professional Professional Modifier Low / Median / High Price $152.34 / $297.18 / $553.29	Professional		$152.34	$297.18	$553.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.15 / $44.34 / $76.13	Professional	26	$32.15	$44.34	$76.13