Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.42 / $54.00 / $563.47	Facility	26	$18.42	$54.00	$563.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $72.03 / $136.08	Professional		$56.50	$72.03	$136.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.07 / $20.14 / $37.22	Professional	26	$18.07	$20.14	$37.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $70.55 / $92.30	Professional		$69.23	$70.55	$92.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.22 / $23.27 / $25.06	Professional	26	$15.22	$23.27	$25.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $36.04 / $87.42	Professional		$25.38	$36.04	$87.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.05 / $21.70 / $36.58	Professional	26	$16.05	$21.70	$36.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $62.44 / $98.10	Professional		$21.48	$62.44	$98.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $85.05 / $136.00	Professional		$53.10	$85.05	$136.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.10 / $25.06 / $36.09	Professional	26	$17.10	$25.06	$36.09
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 $49.36 / $85.20 / $128.84	Professional		$49.36	$85.20	$128.84
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $25.96 / $36.95	Professional	26	$17.30	$25.96	$36.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.69 / $67.77 / $98.84	Professional		$50.69	$67.77	$98.84
United Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $79.12 / $148.30	Professional		$43.67	$79.12	$148.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.56 / $23.40 / $40.42	Professional	26	$15.56	$23.40	$40.42