Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.35 / $119.14 / $327.76	Facility		$89.35	$119.14	$327.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $119.14 / $187.27	Professional		$89.35	$119.14	$187.27
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $24.50 / $68.90 / $175.00	Professional	25	$24.50	$68.90	$175.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.24 / $110.24 / $144.11	Professional		$110.24	$110.24	$144.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $96.08 / $178.30	Professional		$79.80	$96.08	$178.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.11 / $180.14 / $214.03	Facility		$144.11	$180.14	$214.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $187.34 / $345.86	Professional		$94.67	$187.34	$345.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $154.33 / $219.34	Professional		$120.62	$154.33	$219.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $169.74 / $219.34	Professional		$120.62	$169.74	$219.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.70 / $168.33 / $210.56	Professional		$130.70	$168.33	$210.56
United Facility/Professional Professional Modifier Low / Median / High Price $116.26 / $150.60 / $215.84	Professional		$116.26	$150.60	$215.84