Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $433.53 / $687.28 / $1,394.25	Facility	26	$433.53	$687.28	$1,394.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,383.53 / $1,466.54 / $4,396.63	Professional		$1,383.53	$1,466.54	$4,396.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,184.65 / $1,563.73 / $3,897.18	Professional		$1,184.65	$1,563.73	$3,897.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $421.84 / $881.29 / $1,303.11	Professional		$421.84	$881.29	$1,303.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,343.63 / $1,871.07 / $2,639.27	Professional		$1,343.63	$1,871.07	$2,639.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,343.63 / $1,836.21 / $2,593.73	Professional		$1,343.63	$1,836.21	$2,593.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $410.84 / $978.68 / $1,705.54	Professional		$410.84	$978.68	$1,705.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,338.93 / $1,751.01 / $2,580.90	Professional		$1,338.93	$1,751.01	$2,580.90