Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.97 / $181.98 / $320.23	Facility	26	$99.97	$181.98	$320.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.82 / $221.19 / $367.79	Professional		$172.82	$221.19	$367.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.81 / $212.05 / $333.49	Professional		$150.81	$212.05	$333.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.48 / $121.00 / $252.19	Professional		$106.48	$121.00	$252.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.15 / $118.15 / $118.15	Facility	26	$118.15	$118.15	$118.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $257.67 / $447.96	Professional		$123.48	$257.67	$447.96
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $118.15 / $118.15 / $118.15	Facility	26	$118.15	$118.15	$118.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $192.04 / $267.14 / $425.81	Professional		$192.04	$267.14	$425.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.80 / $147.30 / $279.00	Professional		$94.80	$147.30	$279.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.07 / $282.94 / $517.07	Professional		$179.07	$282.94	$517.07