Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.58 / $6.54 / $11.60	Facility	26	$3.58	$6.54	$11.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $52.99 / $80.95	Professional		$39.72	$52.99	$80.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $44.57 / $44.57	Professional		$44.57	$44.57	$44.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $72.31 / $114.71	Professional		$30.80	$72.31	$114.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $46.34 / $55.91	Professional		$3.83	$46.34	$55.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.21 / $4.21 / $4.21	Facility	26	$4.21	$4.21	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.55 / $62.36 / $111.77	Professional		$43.55	$62.36	$111.77
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $4.21 / $4.21 / $4.21	Facility	26	$4.21	$4.21	$4.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $60.54 / $101.23	Professional		$42.78	$60.54	$101.23
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 $40.75 / $55.73 / $98.19	Professional		$40.75	$55.73	$98.19