Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.42 / $30.48 / $59.74	Facility	26	$18.42	$30.48	$59.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $70.98 / $137.47	Professional		$61.55	$70.98	$137.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.11 / $19.32 / $51.94	Professional	26	$18.11	$19.32	$51.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.06 / $25.06 / $25.06	Professional	26	$25.06	$25.06	$25.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $34.78 / $81.17	Professional		$25.06	$34.78	$81.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.75 / $21.33 / $35.96	Professional	26	$15.75	$21.33	$35.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $47.65 / $67.34	Professional		$19.69	$47.65	$67.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $80.95 / $132.32	Professional		$51.42	$80.95	$132.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.10 / $25.06 / $36.04	Professional	26	$17.10	$25.06	$36.04
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $21.80 / $21.80 / $21.80	Facility	26	$21.80	$21.80	$21.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.28 / $79.58 / $131.01	Professional		$50.28	$79.58	$131.01
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $17.54 / $25.96 / $36.15	Professional	26	$17.54	$25.96	$36.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $50.97 / $87.23	Professional		$28.75	$50.97	$87.23
United Facility/Professional Professional Modifier Low / Median / High Price $46.99 / $80.55 / $145.40	Professional		$46.99	$80.55	$145.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.66 / $23.63 / $39.65	Professional	26	$15.66	$23.63	$39.65