Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.19 / $63.22 / $111.65	Facility	26	$37.19	$63.22	$111.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $71.93 / $136.44	Professional		$59.53	$71.93	$136.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.58 / $39.17 / $54.46	Professional	26	$33.58	$39.17	$54.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.25 / $76.25 / $82.60	Professional		$76.25	$76.25	$82.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $63.89 / $107.64	Professional		$49.14	$63.89	$107.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.64 / $40.71 / $70.63	Professional	26	$32.64	$40.71	$70.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.43 / $42.55 / $79.43	Professional		$33.43	$42.55	$79.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.09 / $40.09 / $40.09	Facility	26	$40.09	$40.09	$40.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.24 / $85.78 / $135.97	Professional		$62.24	$85.78	$135.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.81 / $48.98 / $80.30	Professional	26	$34.81	$48.98	$80.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $85.78 / $127.08	Professional		$61.60	$85.78	$127.08
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $34.81 / $48.21 / $74.72	Professional	26	$34.81	$48.21	$74.72
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 $53.99 / $75.20 / $130.91	Professional		$53.99	$75.20	$130.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.40 / $46.35 / $76.23	Professional	26	$32.40	$46.35	$76.23