Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.32 / $51.54 / $100.40	Facility	26	$30.32	$51.54	$100.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $92.01 / $135.34	Professional		$80.50	$92.01	$135.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.58 / $31.69 / $47.91	Professional	26	$28.58	$31.69	$47.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $96.76 / $148.12	Professional		$77.45	$96.76	$148.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.30 / $36.63 / $54.94	Professional	26	$28.30	$36.63	$54.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $62.00 / $105.50	Professional		$32.40	$62.00	$105.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $36.04 / $36.04	Facility	26	$36.04	$36.04	$36.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $113.60 / $182.72	Professional		$82.40	$113.60	$182.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.30 / $41.40 / $66.45	Professional	26	$30.30	$41.40	$66.45
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $36.04 / $36.04	Facility	26	$36.04	$36.04	$36.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.96 / $116.49 / $173.65	Professional		$81.96	$116.49	$173.65
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $30.30 / $41.69 / $65.27	Professional	26	$30.30	$41.69	$65.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $77.58 / $127.13	Professional		$36.60	$77.58	$127.13
United Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $100.71 / $174.85	Professional		$74.48	$100.71	$174.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.17 / $36.35 / $62.81	Professional	26	$27.17	$36.35	$62.81