Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.50 / $71.88 / $127.11	Facility	26	$39.50	$71.88	$127.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $99.94 / $121.74	Professional		$77.31	$99.94	$121.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $83.38 / $137.41	Professional		$57.78	$83.38	$137.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $60.98 / $117.65	Professional		$42.55	$60.98	$117.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.68 / $46.68 / $46.68	Facility	26	$46.68	$46.68	$46.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.74 / $117.65 / $212.36	Professional		$82.74	$117.65	$212.36
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $46.68 / $46.68 / $46.68	Facility	26	$46.68	$46.68	$46.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $82.74 / $121.41 / $192.59	Professional		$82.74	$121.41	$192.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $78.19 / $127.75	Professional		$39.86	$78.19	$127.75
United Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $122.04 / $219.38	Professional		$77.05	$122.04	$219.38