Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $138.04 / $346.74	Facility	26	$100.00	$138.04	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $125.89 / $316.23	Professional	26	$100.00	$125.89	$316.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $102.33 / $102.33	Professional	26	$102.33	$102.33	$102.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $123.03 / $194.98	Professional	26	$91.20	$123.03	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $134.90 / $251.19	Professional	26	$95.50	$134.90	$251.19
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $147.91 / $251.19	Professional	26	$100.00	$147.91	$251.19
SummaCare Facility/Professional Facility Modifier 26 Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility	26	$1,737.80	$1,737.80	$1,737.80
SummaCare Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $117.49 / $190.55	Professional	26	$102.33	$117.49	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $112.20 / $208.93	Professional	26	$75.86	$112.20	$208.93