Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $85.11 / $162.18	Facility	26	$50.12	$85.11	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $199.53	Professional		$83.18	$97.72	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $181.97	Professional		$87.10	$87.10	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $165.96	Professional		$74.13	$102.33	$165.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $83.18	Facility	26	$12.59	$58.88	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $229.09	Professional		$81.28	$123.03	$229.09
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $83.18	Facility	26	$12.59	$58.88	$83.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $208.93	Professional		$81.28	$120.23	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $33.11 / $34.67	Professional		$31.62	$33.11	$34.67
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 $93.33 / $109.65 / $208.93	Professional		$93.33	$109.65	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $190.55	Professional		$79.43	$109.65	$190.55