Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.21 / $68.93 / $135.60	Facility	26	$37.21	$68.93	$135.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.33 / $253.33 / $789.84	Professional		$253.33	$253.33	$789.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.26 / $319.16 / $547.95	Professional		$276.26	$319.16	$547.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $210.37 / $264.25	Professional		$21.04	$210.37	$264.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.77 / $389.83 / $729.91	Professional		$254.77	$389.83	$729.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $254.77 / $371.78 / $729.91	Professional		$254.77	$371.78	$729.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $265.92 / $391.53	Professional		$41.71	$265.92	$391.53
United Facility/Professional Professional Modifier Low / Median / High Price $239.83 / $329.94 / $596.55	Professional		$239.83	$329.94	$596.55