Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $392.05 / $666.48 / $1,259.64	Facility	26	$392.05	$666.48	$1,259.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,253.94 / $1,472.74 / $2,445.17	Professional		$1,253.94	$1,472.74	$2,445.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $363.17 / $529.26 / $960.00	Professional	26	$363.17	$529.26	$960.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $347.22 / $416.66 / $486.11	Professional	26	$347.22	$416.66	$486.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,065.76 / $1,417.41 / $3,460.75	Professional		$1,065.76	$1,417.41	$3,460.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $385.29 / $501.31 / $854.23	Professional	26	$385.29	$501.31	$854.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $451.39 / $944.55 / $1,768.46	Professional		$451.39	$944.55	$1,768.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.77 / $1,651.31 / $2,393.83	Professional		$1,200.77	$1,651.31	$2,393.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $381.94 / $523.54 / $759.19	Professional	26	$381.94	$523.54	$759.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,200.77 / $1,633.94 / $2,284.21	Professional		$1,200.77	$1,633.94	$2,284.21
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $381.94 / $508.63 / $759.19	Professional	26	$381.94	$508.63	$759.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $345.64 / $886.49 / $1,494.99	Professional		$345.64	$886.49	$1,494.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,196.56 / $1,582.76 / $2,511.69	Professional		$1,196.56	$1,582.76	$2,511.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $371.99 / $497.29 / $733.87	Professional	26	$371.99	$497.29	$733.87