Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $11.70 / $58.46	Facility		$4.04	$11.70	$58.46
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.94 / $45.07 / $54.92	Facility	26	$43.94	$45.07	$54.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $46.98 / $77.23	Professional		$15.66	$46.98	$77.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.66 / $43.94 / $71.68	Professional	26	$15.66	$43.94	$71.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.79 / $59.91 / $59.91	Professional	26	$42.79	$59.91	$59.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $59.42 / $167.09	Professional		$18.72	$59.42	$167.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.80 / $22.08 / $55.62	Professional	26	$17.80	$22.08	$55.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $45.97 / $64.09	Facility		$3.29	$45.97	$64.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $45.78 / $75.40	Professional		$3.11	$45.78	$75.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.73 / $32.04	Facility		$3.20	$3.73	$32.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $43.45	Professional		$43.45	$43.45	$43.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $40.47	Professional	26	$40.47	$40.47	$40.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $4.13 / $32.04	Facility		$3.20	$4.13	$32.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $43.45	Professional		$43.45	$43.45	$43.45
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $40.47	Professional	26	$40.47	$40.47	$40.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $68.25 / $102.02	Professional		$37.19	$68.25	$102.02
United Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $27.27 / $59.92	Professional		$18.18	$27.27	$59.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.72 / $27.26 / $57.77	Professional	26	$17.72	$27.26	$57.77