Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.64 / $106.48 / $224.84	Facility	26	$62.64	$106.48	$224.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.86 / $341.96 / $661.14	Professional		$311.86	$341.96	$661.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.90 / $68.89 / $132.80	Professional	26	$59.90	$68.89	$132.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.16 / $85.16 / $111.94	Professional	26	$85.16	$85.16	$111.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.56 / $304.04 / $490.64	Professional		$235.56	$304.04	$490.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.65 / $80.04 / $139.24	Professional	26	$68.65	$80.04	$139.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $256.81 / $327.10	Professional		$66.91	$256.81	$327.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.36 / $442.32 / $783.40	Professional		$297.36	$442.32	$783.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.81 / $87.85 / $151.68	Professional	26	$61.81	$87.85	$151.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $303.17 / $421.01 / $752.53	Professional		$303.17	$421.01	$752.53
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $61.81 / $89.27 / $162.08	Professional	26	$61.81	$89.27	$162.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $299.85 / $441.66	Professional		$42.05	$299.85	$441.66
United Facility/Professional Professional Modifier Low / Median / High Price $222.45 / $383.85 / $719.99	Professional		$222.45	$383.85	$719.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.60 / $76.69 / $137.33	Professional	26	$55.60	$76.69	$137.33