Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $70.15 / $105.16	Professional		$38.11	$70.15	$105.16
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $75.40 / $97.44 / $106.10	Professional	25	$75.40	$97.44	$106.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.73 / $93.41 / $99.55	Professional		$54.73	$93.41	$99.55
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $99.55 / $99.55 / $99.55	Professional	25	$99.55	$99.55	$99.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $55.25 / $119.46	Professional		$33.88	$55.25	$119.46
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $76.58 / $76.58 / $76.58	Professional		$76.58	$76.58	$76.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.90 / $50.52 / $62.53	Facility		$41.90	$50.52	$62.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $81.94 / $103.38	Professional		$74.73	$81.94	$103.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $72.70 / $72.70	Facility		$72.70	$72.70	$72.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.99 / $68.90 / $130.76	Professional		$39.99	$68.90	$130.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.99 / $71.59 / $130.76	Professional		$39.99	$71.59	$130.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $112.72 / $155.60	Professional		$78.19	$112.72	$155.60
United Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $72.70 / $128.30	Professional		$54.71	$72.70	$128.30