Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.19 / $81.92 / $154.22	Facility	26	$48.19	$81.92	$154.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $105.95 / $183.44	Professional		$90.20	$105.95	$183.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $108.26 / $170.69	Professional		$73.94	$108.26	$170.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.51 / $59.04 / $125.63	Professional		$51.51	$59.04	$125.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.98 / $56.98 / $56.98	Facility	26	$56.98	$56.98	$56.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.41 / $129.63 / $223.37	Professional		$92.41	$129.63	$223.37
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $56.98 / $56.98 / $56.98	Facility	26	$56.98	$56.98	$56.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $92.41 / $132.77 / $211.05	Professional		$92.41	$132.77	$211.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $77.63 / $127.23	Professional		$38.72	$77.63	$127.23
United Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $140.91 / $245.00	Professional		$92.64	$140.91	$245.00