Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.65 / $46.92 / $196.00	Facility	26	$42.65	$46.92	$196.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $61.29 / $74.78	Professional		$53.68	$61.29	$74.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.45 / $42.79 / $52.12	Professional	26	$38.45	$42.79	$52.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.34 / $106.07	Professional		$51.29	$67.34	$106.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.27 / $50.43 / $79.56	Professional	26	$38.27	$50.43	$79.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $45.91 / $74.69	Professional		$19.80	$45.91	$74.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.53 / $50.53 / $50.53	Facility	26	$50.53	$50.53	$50.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.58 / $84.36 / $145.08	Professional		$62.58	$84.36	$145.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.23 / $59.71 / $102.31	Professional	26	$43.23	$59.71	$102.31
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $50.53 / $50.53 / $50.53	Facility	26	$50.53	$50.53	$50.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $84.08 / $127.69	Professional		$59.93	$84.08	$127.69
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $42.11 / $59.52 / $92.02	Professional	26	$42.11	$59.52	$92.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $46.40 / $84.58	Professional		$28.36	$46.40	$84.58
United Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $80.93 / $142.10	Professional		$55.56	$80.93	$142.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.18 / $58.01 / $95.51	Professional	26	$39.18	$58.01	$95.51