Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $12.02 / $30.20	Facility	26	$8.91	$12.02	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $112.20	Professional		$42.66	$52.48	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $109.65 / $177.83	Professional		$54.95	$109.65	$177.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $10.96	Professional		$9.77	$9.77	$10.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.29 / $10.72 / $15.14	Facility	26	$2.29	$10.72	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $147.91	Professional		$46.77	$69.18	$147.91
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $2.29 / $10.72 / $15.14	Facility	26	$2.29	$10.72	$15.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $64.57 / $134.90	Professional		$45.71	$64.57	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $40.74	Professional		$32.36	$33.11	$40.74
SummaCare Facility/Professional Facility Modifier 26 Low / Median / High Price $457.09 / $457.09 / $457.09	Facility	26	$457.09	$457.09	$457.09
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $107.15	Professional		$48.98	$57.54	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $102.33	Professional		$42.66	$58.88	$102.33