Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.26 / $167.32 / $359.08	Facility		$59.26	$167.32	$359.08
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $56.71 / $284.82 / $359.08	Facility	25	$56.71	$284.82	$359.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.77 / $162.06 / $335.68	Professional		$108.77	$162.06	$335.68
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $114.85 / $237.11 / $421.27	Professional	25	$114.85	$237.11	$421.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $179.48 / $297.54	Professional		$163.16	$179.48	$297.54
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $163.16 / $163.16 / $167.53	Professional	25	$163.16	$163.16	$167.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.58 / $152.81 / $249.16	Professional		$114.58	$152.81	$249.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.22 / $128.38 / $170.25	Facility		$98.22	$128.38	$170.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.05 / $206.48 / $316.14	Professional		$154.05	$206.48	$316.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $177.01 / $268.37	Professional		$113.82	$177.01	$268.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $121.83 / $158.99 / $320.52	Facility		$121.83	$158.99	$320.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $183.07 / $286.58	Professional		$113.82	$183.07	$286.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.82 / $206.62 / $305.98	Professional		$154.82	$206.62	$305.98
United Facility/Professional Professional Modifier Low / Median / High Price $127.52 / $202.36 / $314.27	Professional		$127.52	$202.36	$314.27