Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.97 / $42.67 / $113.44	Facility	26	$34.97	$42.67	$113.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $80.69 / $135.38	Professional		$66.98	$80.69	$135.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.54 / $35.32 / $57.17	Professional	26	$31.54	$35.32	$57.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $74.06 / $102.60	Professional		$68.95	$74.06	$102.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.13 / $85.98 / $138.08	Professional		$66.13	$85.98	$138.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.04 / $40.29 / $63.11	Professional	26	$31.04	$40.29	$63.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $43.76 / $92.58	Professional		$37.71	$43.76	$92.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.36 / $41.36 / $41.36	Facility	26	$41.36	$41.36	$41.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $107.39 / $181.03	Professional		$74.06	$107.39	$181.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.28 / $50.48 / $94.89	Professional	26	$34.28	$50.48	$94.89
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $41.36 / $41.36 / $41.36	Facility	26	$41.36	$41.36	$41.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $107.60 / $160.99	Professional		$74.06	$107.60	$160.99
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $34.28 / $49.79 / $77.98	Professional	26	$34.28	$49.79	$77.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $46.80 / $125.10	Professional		$28.44	$46.80	$125.10
United Facility/Professional Professional Modifier Low / Median / High Price $70.94 / $104.15 / $173.03	Professional		$70.94	$104.15	$173.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.14 / $47.09 / $80.58	Professional	26	$33.14	$47.09	$80.58