Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $69.18 / $162.18	Facility	26	$50.12	$69.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $302.00	Professional		$173.78	$194.98	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $281.84	Professional		$123.03	$165.96	$281.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $85.11	Facility	26	$12.59	$58.88	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $457.09	Professional		$162.18	$223.87	$457.09
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $85.11	Facility	26	$12.59	$58.88	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $426.58	Professional		$158.49	$223.87	$426.58
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 Professional Modifier Low / Median / High Price $190.55 / $223.87 / $426.58	Professional		$190.55	$223.87	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $398.11	Professional		$138.04	$213.80	$398.11