Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $115.00 / $337.00	Facility	26	$100.00	$115.00	$337.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.74 / $125.00 / $265.00	Professional	26	$87.74	$125.00	$265.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.69 / $87.11 / $114.79	Professional	26	$69.69	$87.11	$114.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.81 / $100.04 / $158.76	Professional	26	$78.81	$100.04	$158.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.09 / $119.48 / $202.14	Professional	26	$86.09	$119.48	$202.14
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $87.17 / $122.85 / $194.49	Professional	26	$87.17	$122.85	$194.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.87 / $96.44 / $195.09	Professional	26	$68.87	$96.44	$195.09