Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.01 / $77.56 / $162.75	Facility	26	$45.01	$77.56	$162.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.90 / $252.81 / $471.86	Professional		$206.90	$252.81	$471.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.01 / $53.46 / $84.94	Professional	26	$45.01	$53.46	$84.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.67 / $258.62 / $447.01	Professional		$181.67	$258.62	$447.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.46 / $59.01 / $85.00	Professional	26	$46.46	$59.01	$85.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $263.25 / $318.25	Professional		$55.00	$263.25	$318.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.41 / $60.41 / $72.78	Facility	26	$60.41	$60.41	$72.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.64 / $318.70 / $567.11	Professional		$197.64	$318.70	$567.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.74 / $70.00 / $115.08	Professional	26	$45.74	$70.00	$115.08
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $60.41 / $60.41 / $72.78	Facility	26	$60.41	$60.41	$72.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $202.70 / $320.60 / $520.77	Professional		$202.70	$320.60	$520.77
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $46.84 / $70.09 / $106.53	Professional	26	$46.84	$70.09	$106.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $270.54 / $436.10	Professional		$65.67	$270.54	$436.10
United Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $263.83 / $461.98	Professional		$192.97	$263.83	$461.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.82 / $60.14 / $116.63	Professional	26	$46.82	$60.14	$116.63