Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.19 / $81.14 / $189.99	Facility	26	$59.19	$81.14	$189.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.93 / $129.94 / $174.95	Professional		$107.93	$129.94	$174.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $119.29 / $184.80	Professional		$84.18	$119.29	$184.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.58 / $71.51 / $142.63	Professional		$62.58	$71.51	$142.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.97 / $69.97 / $69.97	Facility	26	$69.97	$69.97	$69.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.55 / $146.54 / $283.12	Professional		$102.55	$146.54	$283.12
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $69.97 / $69.97 / $69.97	Facility	26	$69.97	$69.97	$69.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $152.91 / $251.88	Professional		$108.80	$152.91	$251.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $83.63 / $158.99	Professional		$56.07	$83.63	$158.99
United Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $158.80 / $310.44	Professional		$105.38	$158.80	$310.44