Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.71 / $62.28 / $266.80	Facility		$46.71	$62.28	$266.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $77.19 / $113.25	Professional		$46.71	$77.19	$113.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $75.44 / $75.44 / $75.44	Professional	25	$75.44	$75.44	$75.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $60.41 / $75.51	Professional		$54.56	$60.41	$75.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $63.48 / $102.59	Professional		$52.85	$63.48	$102.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.63 / $76.45 / $112.15	Facility		$56.63	$76.45	$112.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $63.04 / $83.06	Professional		$63.04	$63.04	$83.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $103.15 / $152.51	Professional		$79.51	$103.15	$152.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.42 / $103.94 / $152.51	Professional		$81.42	$103.94	$152.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.10 / $101.83 / $127.11	Professional		$79.10	$101.83	$127.11
United Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $95.58 / $142.55	Professional		$77.63	$95.58	$142.55