Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $350.67 / $596.13 / $1,126.32	Facility	26	$350.67	$596.13	$1,126.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.16 / $1,352.48 / $2,225.01	Professional		$1,130.16	$1,352.48	$2,225.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $325.89 / $403.27 / $723.40	Professional	26	$325.89	$403.27	$723.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $433.52 / $433.52 / $433.52	Professional	26	$433.52	$433.52	$433.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $967.57 / $1,277.19 / $3,174.23	Professional		$967.57	$1,277.19	$3,174.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $345.79 / $449.99 / $766.78	Professional	26	$345.79	$449.99	$766.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.63 / $723.71 / $1,064.33	Professional		$340.63	$723.71	$1,064.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.84 / $1,525.68 / $2,154.00	Professional		$1,084.84	$1,525.68	$2,154.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $340.62 / $469.86 / $681.46	Professional	26	$340.62	$469.86	$681.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,084.84 / $1,499.74 / $2,114.83	Professional		$1,084.84	$1,499.74	$2,114.83
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $340.62 / $454.29 / $681.46	Professional	26	$340.62	$454.29	$681.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $311.27 / $777.94 / $1,323.46	Professional		$311.27	$777.94	$1,323.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,089.07 / $1,433.48 / $2,108.27	Professional		$1,089.07	$1,433.48	$2,108.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $333.91 / $444.59 / $658.75	Professional	26	$333.91	$444.59	$658.75