Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.59 / $57.55 / $136.78	Facility	26	$35.59	$57.55	$136.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $296.87 / $816.00	Professional		$258.64	$296.87	$816.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.96 / $297.01 / $444.43	Professional		$245.96	$297.01	$444.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $231.94 / $271.99	Professional		$38.36	$231.94	$271.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.07 / $379.70 / $692.38	Professional		$249.07	$379.70	$692.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $258.01 / $364.25 / $686.50	Professional		$258.01	$364.25	$686.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $265.92 / $391.53	Professional		$42.05	$265.92	$391.53
United Facility/Professional Professional Modifier Low / Median / High Price $219.84 / $331.74 / $612.33	Professional		$219.84	$331.74	$612.33