Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $23.88 / $66.67	Professional		$10.00	$23.88	$66.67
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $140.71 / $140.71 / $140.71	Professional	25	$140.71	$140.71	$140.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $18.80 / $18.80	Professional		$14.10	$18.80	$18.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $23.95 / $37.99	Professional		$18.77	$23.95	$37.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $25.38	Professional		$18.80	$18.80	$25.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $25.90 / $33.27	Professional		$13.78	$25.90	$33.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $23.83 / $33.27	Professional		$13.78	$23.83	$33.27
United Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $20.83 / $30.83	Professional		$13.63	$20.83	$30.83