Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.88 / $107.36 / $206.94	Facility	26	$64.88	$107.36	$206.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.78 / $164.25 / $261.72	Professional		$141.78	$164.25	$261.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.35 / $69.81 / $206.94	Professional	26	$61.35	$69.81	$206.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.93 / $198.58 / $198.58	Professional		$144.93	$198.58	$198.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.62 / $88.68 / $95.01	Professional	26	$58.62	$88.68	$95.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.28 / $182.35 / $290.70	Professional		$131.28	$182.35	$290.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.29 / $76.00 / $117.85	Professional	26	$57.29	$76.00	$117.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.67 / $88.68 / $177.30	Professional		$69.67	$88.68	$177.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.80 / $76.80 / $76.80	Facility	26	$76.80	$76.80	$76.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.84 / $196.11 / $297.87	Professional		$141.84	$196.11	$297.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.97 / $88.67 / $132.24	Professional	26	$63.97	$88.67	$132.24
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $76.80 / $76.80 / $76.80	Facility	26	$76.80	$76.80	$76.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $198.58 / $292.88	Professional		$138.13	$198.58	$292.88
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $63.97 / $89.44 / $135.55	Professional	26	$63.97	$89.44	$135.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.87 / $102.04 / $164.45	Professional		$61.87	$102.04	$164.45
United Facility/Professional Professional Modifier Low / Median / High Price $125.25 / $172.02 / $306.39	Professional		$125.25	$172.02	$306.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.38 / $78.20 / $137.25	Professional	26	$57.38	$78.20	$137.25