Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.59 / $186.89 / $328.72	Facility	26	$111.59	$186.89	$328.72
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.70 / $86.53 / $142.07	Facility	53	$48.70	$86.53	$142.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.49 / $330.43 / $561.41	Professional		$243.49	$330.43	$561.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.45 / $128.32 / $448.94	Professional	26	$101.45	$128.32	$448.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $91.92 / $118.60 / $154.19	Professional	26	$91.92	$118.60	$154.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.84 / $310.11 / $588.16	Professional		$235.84	$310.11	$588.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.20 / $127.64 / $230.34	Professional	26	$96.20	$127.64	$230.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.72 / $153.32 / $289.79	Professional		$108.72	$153.32	$289.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.65 / $336.70 / $545.26	Professional		$233.65	$336.70	$545.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.45 / $146.77 / $221.39	Professional	26	$105.45	$146.77	$221.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $223.03 / $329.23 / $541.80	Professional		$223.03	$329.23	$541.80
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $107.20 / $148.40 / $219.41	Professional	26	$107.20	$148.40	$219.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.40 / $153.55 / $294.34	Professional		$96.40	$153.55	$294.34
United Facility/Professional Professional Modifier Low / Median / High Price $218.53 / $304.94 / $504.68	Professional		$218.53	$304.94	$504.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.71 / $132.19 / $224.91	Professional	26	$95.71	$132.19	$224.91