Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.64 / $32.10 / $57.14	Facility	26	$17.64	$32.10	$57.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.02 / $68.81 / $97.92	Professional		$61.02	$68.81	$97.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $81.70 / $130.16	Professional		$61.69	$81.70	$130.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $52.46 / $78.70	Professional		$18.85	$52.46	$78.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.92 / $20.92 / $20.92	Facility	26	$20.92	$20.92	$20.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $87.32 / $141.91	Professional		$63.57	$87.32	$141.91
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $20.92 / $20.92 / $20.92	Facility	26	$20.92	$20.92	$20.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $87.78 / $137.18	Professional		$61.57	$87.78	$137.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $50.15 / $86.30	Professional		$28.10	$50.15	$86.30
United Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $79.77 / $139.56	Professional		$56.41	$79.77	$139.56