Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.60 / $29.74 / $69.42	Facility	26	$20.60	$29.74	$69.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $71.70 / $103.19	Professional		$60.71	$71.70	$103.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $22.38 / $31.89	Professional	26	$20.14	$22.38	$31.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.01 / $26.01 / $26.01	Professional	26	$26.01	$26.01	$26.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.68 / $72.92 / $115.44	Professional		$55.68	$72.92	$115.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.78 / $25.21 / $39.25	Professional	26	$19.78	$25.21	$39.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $49.09 / $77.70	Professional		$22.01	$49.09	$77.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.49 / $24.49 / $24.49	Facility	26	$24.49	$24.49	$24.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $87.95 / $140.29	Professional		$62.25	$87.95	$140.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.02 / $29.02 / $46.63	Professional	26	$21.02	$29.02	$46.63
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $24.49 / $24.49 / $24.49	Facility	26	$24.49	$24.49	$24.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $88.16 / $136.36	Professional		$62.25	$88.16	$136.36
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $21.02 / $29.13 / $44.59	Professional	26	$21.02	$29.13	$44.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $33.83 / $50.08	Professional		$25.48	$33.83	$50.08
United Facility/Professional Professional Modifier Low / Median / High Price $60.02 / $81.96 / $142.49	Professional		$60.02	$81.96	$142.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.14 / $26.31 / $46.22	Professional	26	$19.14	$26.31	$46.22