Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.11 / $17.16 / $30.53	Facility	26	$9.11	$17.16	$30.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $48.78 / $77.53	Professional		$43.54	$48.78	$77.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $106.00 / $173.26	Professional		$52.20	$106.00	$173.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $42.83 / $60.38	Professional		$9.76	$42.83	$60.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $66.16 / $133.11	Professional		$45.28	$66.16	$133.11
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $64.50 / $129.47	Professional		$44.92	$64.50	$129.47
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 $41.70 / $59.15 / $102.27	Professional		$41.70	$59.15	$102.27