Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.81 / $46.69 / $98.24	Facility		$6.81	$46.69	$98.24
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $14.21 / $67.64 / $119.52	Facility	25	$14.21	$67.64	$119.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $17.25 / $29.85	Professional		$6.59	$17.25	$29.85
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.46 / $27.01 / $48.71	Professional	25	$14.46	$27.01	$48.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $21.19 / $27.55	Professional		$9.77	$21.19	$27.55
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $21.19 / $21.71 / $50.00	Professional	25	$21.19	$21.71	$50.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $18.43 / $32.36	Professional		$9.06	$18.43	$32.36
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $22.25 / $27.76	Professional		$10.77	$22.25	$27.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.18 / $9.77 / $12.32	Facility		$8.18	$9.77	$12.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.19 / $27.55 / $41.18	Professional		$21.19	$27.55	$41.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $110.00 / $180.00	Facility		$11.66	$110.00	$180.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $20.45 / $35.69	Professional		$8.63	$20.45	$35.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $110.00 / $205.00	Facility		$11.66	$110.00	$205.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $21.15 / $33.93	Professional		$9.14	$21.15	$33.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $34.94 / $50.16	Professional		$25.04	$34.94	$50.16
Optum Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $25.63 / $85.46	Professional		$21.56	$25.63	$85.46
United Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Facility		$49.00	$49.00	$49.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $24.16 / $38.53	Professional		$17.60	$24.16	$38.53