Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.60 / $65.98 / $109.76	Facility	26	$37.60	$65.98	$109.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $163.77 / $626.00	Professional		$137.84	$163.77	$626.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.29 / $154.94 / $266.07	Professional		$112.29	$154.94	$266.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $113.54 / $149.71	Professional		$36.17	$113.54	$149.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.36 / $190.54 / $294.94	Professional		$137.36	$190.54	$294.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $188.30 / $285.81	Professional		$129.03	$188.30	$285.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $124.76 / $217.81	Professional		$40.43	$124.76	$217.81
United Facility/Professional Professional Modifier Low / Median / High Price $128.56 / $179.43 / $308.92	Professional		$128.56	$179.43	$308.92