Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.15 / $66.86 / $141.04	Facility	26	$39.15	$66.86	$141.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $214.29 / $282.13	Professional		$152.88	$214.29	$282.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.85 / $242.55 / $471.42	Professional		$144.85	$242.55	$471.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.89 / $184.48 / $232.38	Professional		$47.89	$184.48	$232.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.38 / $52.38 / $62.12	Facility	26	$52.38	$52.38	$62.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.76 / $278.06 / $446.93	Professional		$166.76	$278.06	$446.93
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $52.38 / $52.38 / $62.12	Facility	26	$52.38	$52.38	$62.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $166.65 / $274.62 / $443.62	Professional		$166.65	$274.62	$443.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $197.55 / $315.74	Professional		$65.67	$197.55	$315.74
United Facility/Professional Professional Modifier Low / Median / High Price $171.58 / $232.58 / $416.95	Professional		$171.58	$232.58	$416.95