Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $135.21 / $225.00	Professional		$78.84	$135.21	$225.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $86.73 / $166.92 / $274.00	Professional	25	$86.73	$166.92	$274.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.15 / $135.83 / $176.33	Professional		$126.15	$135.83	$176.33
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $98.50 / $112.75 / $199.01	Professional	25	$98.50	$112.75	$199.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $106.81 / $211.59	Professional		$65.05	$106.81	$211.59
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $135.63 / $135.63	Professional		$135.63	$135.63	$135.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.34 / $104.08 / $128.81	Facility		$86.34	$104.08	$128.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $145.13 / $183.11	Professional		$132.66	$145.13	$183.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.77 / $149.77 / $149.77	Facility		$149.77	$149.77	$149.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $126.58 / $256.56	Professional		$74.31	$126.58	$256.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $142.43 / $262.14	Professional		$82.70	$142.43	$262.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.03 / $188.56 / $258.13	Professional		$131.03	$188.56	$258.13
United Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $122.13 / $199.60	Professional		$82.19	$122.13	$199.60