Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.52 / $83.37 / $269.85	Facility		$62.52	$83.37	$269.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.52 / $85.32 / $142.97	Professional		$62.52	$85.32	$142.97
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.57 / $101.95 / $101.95	Professional	25	$20.57	$101.95	$101.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.93 / $100.93 / $100.93	Professional		$100.93	$100.93	$100.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $76.81 / $126.33	Professional		$63.73	$76.81	$126.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.93 / $126.16 / $149.91	Facility		$100.93	$126.16	$149.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.27 / $131.21 / $242.23	Professional		$64.27	$131.21	$242.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $106.05 / $178.35	Professional		$81.68	$106.05	$178.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $115.46 / $178.35	Professional		$81.68	$115.46	$178.35
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 $80.06 / $104.16 / $157.61	Professional		$80.06	$104.16	$157.61