Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $250.80 / $421.76 / $806.33	Facility	26	$250.80	$421.76	$806.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.22 / $1,050.28 / $1,727.86	Professional		$886.22	$1,050.28	$1,727.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $237.16 / $313.57 / $522.79	Professional	26	$237.16	$313.57	$522.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $221.48 / $221.48 / $276.85	Professional	26	$221.48	$221.48	$276.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.28 / $1,022.27 / $2,513.48	Professional		$747.28	$1,022.27	$2,513.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $251.66 / $327.84 / $558.63	Professional	26	$251.66	$327.84	$558.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $287.92 / $723.46 / $1,281.28	Professional		$287.92	$723.46	$1,281.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.44 / $1,155.36 / $1,700.68	Professional		$849.44	$1,155.36	$1,700.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $243.63 / $339.12 / $496.58	Professional	26	$243.63	$339.12	$496.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $849.44 / $1,155.27 / $1,649.45	Professional		$849.44	$1,155.27	$1,649.45
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $243.63 / $325.70 / $496.58	Professional	26	$243.63	$325.70	$496.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $276.90 / $666.82 / $1,112.36	Professional		$276.90	$666.82	$1,112.36
United Facility/Professional Professional Modifier Low / Median / High Price $837.77 / $1,117.30 / $1,699.12	Professional		$837.77	$1,117.30	$1,699.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $238.49 / $312.95 / $480.05	Professional	26	$238.49	$312.95	$480.05