Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.12 / $97.75 / $191.06	Facility	26	$53.12	$97.75	$191.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.77 / $196.72 / $718.16	Professional		$187.77	$196.72	$718.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.64 / $286.79 / $471.39	Professional		$239.64	$286.79	$471.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $150.25 / $270.20	Professional		$54.04	$150.25	$270.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.36 / $304.79 / $552.12	Professional		$200.36	$304.79	$552.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $201.53 / $301.61 / $577.82	Professional		$201.53	$301.61	$577.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.93 / $196.64 / $287.40	Professional		$41.93	$196.64	$287.40
United Facility/Professional Professional Modifier Low / Median / High Price $203.65 / $273.69 / $714.83	Professional		$203.65	$273.69	$714.83