Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.43 / $77.64 / $153.01	Facility	26	$42.43	$77.64	$153.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.76 / $240.61 / $421.37	Professional		$198.76	$240.61	$421.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $152.63 / $152.63	Professional		$152.63	$152.63	$152.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.04 / $240.54 / $371.26	Professional		$202.04	$240.54	$371.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $164.19 / $234.06	Professional		$45.67	$164.19	$234.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.63 / $285.87 / $517.84	Professional		$201.63	$285.87	$517.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $201.63 / $280.92 / $491.62	Professional		$201.63	$280.92	$491.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $196.41 / $287.40	Professional		$42.05	$196.41	$287.40
United Facility/Professional Professional Modifier Low / Median / High Price $179.32 / $248.29 / $566.47	Professional		$179.32	$248.29	$566.47