Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.82 / $149.07 / $267.61	Facility	26	$82.82	$149.07	$267.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.62 / $142.94 / $174.88	Professional		$124.62	$142.94	$174.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.97 / $143.97 / $143.97	Professional		$143.97	$143.97	$143.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $152.11 / $240.09	Professional		$112.75	$152.11	$240.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $87.84 / $169.16	Professional		$61.03	$87.84	$169.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.96 / $97.96 / $97.96	Facility	26	$97.96	$97.96	$97.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.33 / $198.93 / $391.94	Professional		$135.33	$198.93	$391.94
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $97.96 / $97.96 / $97.96	Facility	26	$97.96	$97.96	$97.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $135.33 / $197.09 / $306.14	Professional		$135.33	$197.09	$306.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.97 / $108.55 / $199.02	Professional		$59.97	$108.55	$199.02
United Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $192.18 / $306.36	Professional		$130.68	$192.18	$306.36