Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.69 / $41.34 / $76.45	Facility	26	$22.69	$41.34	$76.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.85 / $137.59 / $214.20	Professional		$119.85	$137.59	$214.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.69 / $23.05 / $38.90	Professional	26	$22.69	$23.05	$38.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $20.19 / $21.08	Professional	26	$20.14	$20.19	$21.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $158.07 / $268.51	Professional		$124.37	$158.07	$268.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.56 / $27.45 / $46.78	Professional	26	$21.56	$27.45	$46.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $118.45 / $161.74	Professional		$23.88	$118.45	$161.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.86 / $190.11 / $281.18	Professional		$135.86	$190.11	$281.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.32 / $31.77 / $47.96	Professional	26	$22.32	$31.77	$47.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $135.86 / $191.83 / $277.33	Professional		$135.86	$191.83	$277.33
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $23.05 / $32.06 / $47.07	Professional	26	$23.05	$32.06	$47.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $115.99 / $179.83	Professional		$40.43	$115.99	$179.83
United Facility/Professional Professional Modifier Low / Median / High Price $129.83 / $181.45 / $332.66	Professional		$129.83	$181.45	$332.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.78 / $30.26 / $53.93	Professional	26	$21.78	$30.26	$53.93