Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $194.98 / $467.74	Facility	26	$141.25	$194.98	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $354.81	Professional		$169.82	$204.17	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $269.15	Professional		$100.00	$131.83	$269.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $165.96 / $234.42	Facility	26	$35.48	$165.96	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $467.74	Professional		$158.49	$239.88	$467.74
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $165.96 / $234.42	Facility	26	$35.48	$165.96	$234.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $416.87	Professional		$158.49	$239.88	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier 26 Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	26	$263.03	$263.03	$263.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $478.63	Professional		$204.17	$251.19	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $380.19	Professional		$144.54	$213.80	$380.19