Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.53 / $76.55 / $193.52	Facility	26	$53.53	$76.55	$193.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.47 / $320.67 / $632.82	Professional		$286.47	$320.67	$632.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.74 / $268.76 / $448.32	Professional		$210.74	$268.76	$448.32
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $335.23 / $335.23 / $335.23	Professional		$335.23	$335.23	$335.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $284.08 / $538.15	Professional		$57.18	$284.08	$538.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.97 / $421.48 / $760.69	Professional		$278.97	$421.48	$760.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $278.97 / $397.72 / $718.97	Professional		$278.97	$397.72	$718.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $299.85 / $441.66	Professional		$42.05	$299.85	$441.66
United Facility/Professional Professional Modifier Low / Median / High Price $212.12 / $366.01 / $695.99	Professional		$212.12	$366.01	$695.99