Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.52 / $115.14 / $289.49	Facility	26	$80.52	$115.14	$289.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.29 / $140.08 / $256.54	Professional		$126.29	$140.08	$256.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $177.64 / $270.85	Professional		$149.50	$177.64	$270.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.33 / $86.71 / $137.05	Professional		$50.33	$86.71	$137.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.82 / $103.82 / $103.82	Facility	26	$103.82	$103.82	$103.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.58 / $191.13 / $320.42	Professional		$122.58	$191.13	$320.42
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $103.82 / $103.82 / $103.82	Facility	26	$103.82	$103.82	$103.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $128.68 / $185.48 / $320.99	Professional		$128.68	$185.48	$320.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.61 / $116.05 / $174.95	Professional		$65.61	$116.05	$174.95
United Facility/Professional Professional Modifier Low / Median / High Price $119.67 / $162.54 / $268.79	Professional		$119.67	$162.54	$268.79