Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.27 / $76.95 / $128.44	Facility	26	$43.27	$76.95	$128.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $78.34 / $133.26	Professional		$64.93	$78.34	$133.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.22 / $45.47 / $76.05	Professional	26	$39.22	$45.47	$76.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.26 / $107.26 / $107.26	Professional		$107.26	$107.26	$107.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $70.23 / $117.72	Professional		$53.89	$70.23	$117.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.39 / $46.51 / $79.62	Professional	26	$37.39	$46.51	$79.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $48.15 / $86.50	Professional		$33.76	$48.15	$86.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.61 / $46.61 / $46.61	Facility	26	$46.61	$46.61	$46.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $93.42 / $148.09	Professional		$68.06	$93.42	$148.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.44 / $56.16 / $91.99	Professional	26	$40.44	$56.16	$91.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $93.42 / $137.71	Professional		$68.06	$93.42	$137.71
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $40.17 / $55.85 / $85.05	Professional	26	$40.17	$55.85	$85.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $46.78 / $85.00	Professional		$28.05	$46.78	$85.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $81.89 / $139.08	Professional		$58.90	$81.89	$139.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.84 / $53.10 / $86.88	Professional	26	$36.84	$53.10	$86.88