Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.77 / $25.40 / $59.83	Facility	26	$18.77	$25.40	$59.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $79.54 / $96.37	Professional		$59.45	$79.54	$96.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $44.12 / $99.95	Professional		$27.81	$44.12	$99.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $67.88 / $97.43	Professional		$21.54	$67.88	$97.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.16 / $22.16 / $22.16	Facility	26	$22.16	$22.16	$22.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $91.72 / $160.71	Professional		$49.82	$91.72	$160.71
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $22.16 / $22.16 / $22.16	Facility	26	$22.16	$22.16	$22.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $90.11 / $155.27	Professional		$44.44	$90.11	$155.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $67.77 / $98.84	Professional		$51.96	$67.77	$98.84
United Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $99.72 / $179.45	Professional		$43.96	$99.72	$179.45