Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.77 / $54.28 / $94.48	Facility	26	$29.77	$54.28	$94.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $77.63 / $93.60	Professional		$65.81	$77.63	$93.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.49 / $77.06 / $124.74	Professional		$54.49	$77.06	$124.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $48.02 / $97.98	Professional		$31.82	$48.02	$97.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.17 / $35.17 / $35.17	Facility	26	$35.17	$35.17	$35.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.47 / $100.64 / $187.35	Professional		$69.47	$100.64	$187.35
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $35.17 / $35.17 / $35.17	Facility	26	$35.17	$35.17	$35.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $97.74 / $149.57	Professional		$63.16	$97.74	$149.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $46.80 / $125.10	Professional		$28.36	$46.80	$125.10
United Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $96.86 / $180.19	Professional		$64.58	$96.86	$180.19