Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $144.54 / $346.74	Facility	26	$107.15	$144.54	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $549.54	Professional		$323.59	$398.11	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $549.54	Professional		$234.42	$323.59	$549.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $125.89 / $181.97	Facility	26	$26.92	$125.89	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $933.25	Professional		$309.03	$467.74	$933.25
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $125.89 / $181.97	Facility	26	$26.92	$125.89	$181.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $812.83	Professional		$295.12	$467.74	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier 26 Low / Median / High Price $457.09 / $457.09 / $457.09	Facility	26	$457.09	$457.09	$457.09
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $831.76	Professional		$371.54	$436.52	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $758.58	Professional		$257.04	$407.38	$758.58