Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.79 / $36.29 / $139.24	Facility		$25.79	$36.29	$139.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $35.54 / $51.84	Professional		$23.52	$35.54	$51.84
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $85.57 / $85.57 / $85.57	Professional	25	$85.57	$85.57	$85.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $50.00 / $51.77	Professional		$43.52	$50.00	$51.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $41.38 / $67.09	Professional		$27.00	$41.38	$67.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $40.59 / $54.80	Facility		$30.44	$40.59	$54.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $58.13 / $75.95	Professional		$42.24	$58.13	$75.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $57.70 / $57.70	Facility		$57.70	$57.70	$57.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $51.59 / $86.50	Professional		$32.04	$51.59	$86.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $57.70 / $57.70	Facility		$57.70	$57.70	$57.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $52.05 / $80.31	Professional		$34.07	$52.05	$80.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $67.99 / $101.43	Professional		$51.38	$67.99	$101.43
Optum Facility/Professional Professional Modifier Low / Median / High Price $49.41 / $52.01 / $68.70	Professional		$49.41	$52.01	$68.70
United Facility/Professional Professional Modifier Low / Median / High Price $37.26 / $55.33 / $88.61	Professional		$37.26	$55.33	$88.61