Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.58 / $63.49 / $123.95	Facility	26	$34.58	$63.49	$123.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.85 / $160.59 / $370.14	Professional		$150.85	$160.59	$370.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.53 / $163.50 / $260.77	Professional		$124.53	$163.50	$260.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $131.44 / $184.98	Professional		$37.28	$131.44	$184.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.40 / $226.47 / $393.04	Professional		$153.40	$226.47	$393.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $216.79 / $385.19	Professional		$154.01	$216.79	$385.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $159.46 / $235.47	Professional		$41.71	$159.46	$235.47
United Facility/Professional Professional Modifier Low / Median / High Price $119.78 / $207.09 / $350.49	Professional		$119.78	$207.09	$350.49