Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.74 / $54.14 / $111.26	Facility	26	$29.74	$54.14	$111.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $213.67 / $468.58	Professional		$169.28	$213.67	$468.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.33 / $187.45 / $306.82	Professional		$152.33	$187.45	$306.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $176.35 / $224.14	Professional		$31.75	$176.35	$224.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.13 / $276.08 / $512.13	Professional		$184.13	$276.08	$512.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $186.75 / $262.22 / $456.41	Professional		$186.75	$262.22	$456.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $230.67 / $337.88	Professional		$41.71	$230.67	$337.88
United Facility/Professional Professional Modifier Low / Median / High Price $149.75 / $253.71 / $507.41	Professional		$149.75	$253.71	$507.41