Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.19 / $107.59 / $210.75	Facility	26	$46.19	$107.59	$210.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.87 / $200.79 / $676.66	Professional		$116.87	$200.79	$676.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $134.10 / $312.89	Professional		$107.28	$134.10	$312.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $138.18 / $391.67	Professional		$75.48	$138.18	$391.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.62 / $140.88 / $397.13	Professional		$71.62	$140.88	$397.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $217.48 / $370.54	Professional		$68.38	$217.48	$370.54
United Facility/Professional Professional Modifier Low / Median / High Price $104.03 / $201.56 / $376.47	Professional		$104.03	$201.56	$376.47