Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $74.13 / $128.82	Facility	26	$42.66	$74.13	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $165.96	Professional		$64.57	$85.11	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $47.86 / $104.71	Professional	26	$38.90	$47.86	$104.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $43.65 / $43.65	Professional	26	$43.65	$43.65	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $123.03	Professional		$58.88	$74.13	$123.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $50.12 / $83.18	Professional	26	$38.02	$50.12	$83.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $46.77 / $66.07	Facility	26	$10.00	$46.77	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $158.49	Professional		$67.61	$95.50	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $56.23 / $102.33	Professional	26	$40.74	$56.23	$102.33
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $46.77 / $66.07	Facility	26	$10.00	$46.77	$66.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $147.91	Professional		$67.61	$95.50	$147.91
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $57.54 / $95.50	Professional	26	$40.74	$57.54	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $40.74	Professional		$32.36	$33.11	$40.74
SummaCare Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $165.96	Professional		$75.86	$87.10	$165.96
SummaCare Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $48.98 / $91.20	Professional	26	$41.69	$48.98	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $128.82	Professional		$58.88	$81.28	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $51.29 / $79.43	Professional	26	$36.31	$51.29	$79.43