Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $38.90 / $102.33	Facility	26	$28.18	$38.90	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $512.86	Professional		$147.91	$218.78	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $33.11 / $107.15	Professional	26	$25.12	$33.11	$107.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $23.99 / $48.98	Professional	26	$23.99	$23.99	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $281.84	Professional		$125.89	$169.82	$281.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $40.74 / $61.66	Professional	26	$30.90	$40.74	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $426.58	Professional		$162.18	$234.42	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $39.81 / $72.44	Professional	26	$27.54	$39.81	$72.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $407.38	Professional		$162.18	$234.42	$407.38
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $40.74 / $69.18	Professional	26	$28.18	$40.74	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier 26 Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	26	$489.78	$489.78	$489.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $426.58	Professional		$204.17	$251.19	$426.58
SummaCare Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $42.66 / $63.10	Professional	26	$30.20	$42.66	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $380.19	Professional		$125.89	$218.78	$380.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $33.11 / $60.26	Professional	26	$23.44	$33.11	$60.26