Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.28 / $35.63 / $69.56	Facility	26	$19.28	$35.63	$69.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.27 / $200.56 / $517.79	Professional		$162.27	$200.56	$517.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.94 / $144.24 / $235.87	Professional		$110.94	$144.24	$235.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $132.69 / $171.83	Professional		$20.93	$132.69	$171.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.83 / $220.94 / $396.28	Professional		$145.83	$220.94	$396.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $218.69 / $386.87	Professional		$156.16	$218.69	$386.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $187.40 / $260.18	Professional		$145.66	$187.40	$260.18
United Facility/Professional Professional Modifier Low / Median / High Price $110.47 / $197.05 / $393.34	Professional		$110.47	$197.05	$393.34