Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.07 / $21.33 / $38.00	Facility	26	$12.07	$21.33	$38.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.89 / $54.86 / $81.36	Professional		$47.89	$54.86	$81.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.23 / $50.23 / $50.23	Professional		$50.23	$50.23	$50.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $74.55 / $121.23	Professional		$50.83	$74.55	$121.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $44.66 / $61.71	Professional		$12.90	$44.66	$61.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.27 / $14.27 / $14.27	Facility	26	$14.27	$14.27	$14.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.84 / $69.33 / $117.27	Professional		$49.84	$69.33	$117.27
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $14.27 / $14.27 / $14.27	Facility	26	$14.27	$14.27	$14.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.47 / $68.81 / $114.26	Professional		$47.47	$68.81	$114.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $33.88 / $49.47	Professional		$25.48	$33.88	$49.47
United Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $60.07 / $104.03	Professional		$43.79	$60.07	$104.03