Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.15 / $84.03 / $98.86	Facility		$74.15	$84.03	$98.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.15 / $98.85 / $140.66	Professional		$74.15	$98.85	$140.66
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $89.50 / $89.50 / $89.50	Professional	25	$89.50	$89.50	$89.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $106.93 / $171.01	Professional		$81.16	$106.93	$171.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.01 / $119.34 / $119.84	Facility		$71.01	$119.34	$119.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $94.68 / $149.18	Professional		$61.54	$94.68	$149.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.97 / $144.97 / $144.97	Facility		$144.97	$144.97	$144.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.50 / $155.13 / $262.67	Professional		$108.50	$155.13	$262.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $146.88 / $182.59	Professional		$115.77	$146.88	$182.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $93.06 / $142.33	Professional		$72.58	$93.06	$142.33
United Facility/Professional Professional Modifier Low / Median / High Price $91.71 / $130.18 / $197.86	Professional		$91.71	$130.18	$197.86