Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.13 / $85.22 / $160.59	Facility	26	$50.13	$85.22	$160.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $90.56 / $144.93	Professional		$79.76	$90.56	$144.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.39 / $97.22 / $152.33	Professional		$72.39	$97.22	$152.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $53.58 / $101.46	Professional		$35.70	$53.58	$101.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.27 / $59.27 / $59.27	Facility	26	$59.27	$59.27	$59.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $116.13 / $218.65	Professional		$81.17	$116.13	$218.65
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $59.27 / $59.27 / $59.27	Facility	26	$59.27	$59.27	$59.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $120.77 / $195.58	Professional		$81.70	$120.77	$195.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $68.46 / $118.83	Professional		$30.05	$68.46	$118.83
United Facility/Professional Professional Modifier Low / Median / High Price $83.13 / $119.15 / $196.93	Professional		$83.13	$119.15	$196.93