Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.59 / $70.36 / $234.72	Facility		$58.59	$70.36	$234.72
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $61.86 / $61.86 / $61.86	Facility	25	$61.86	$61.86	$61.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $71.98 / $117.04	Professional		$58.13	$71.98	$117.04
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $60.85 / $82.64 / $197.77	Professional	25	$60.85	$82.64	$197.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $77.20 / $99.01	Professional		$68.80	$77.20	$99.01
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $62.04 / $91.94 / $169.73	Professional	25	$62.04	$91.94	$169.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.73 / $72.16 / $110.71	Professional		$54.73	$72.16	$110.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.72 / $84.86 / $106.02	Facility		$70.72	$84.86	$106.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $100.36 / $158.22	Professional		$77.20	$100.36	$158.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.27 / $100.27 / $100.27	Facility		$100.27	$100.27	$100.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $92.64 / $160.37	Professional		$71.65	$92.64	$160.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $100.27 / $100.27 / $100.27	Facility		$100.27	$100.27	$100.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $72.93 / $94.60 / $154.58	Professional		$72.93	$94.60	$154.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $110.74 / $155.41	Professional		$80.09	$110.74	$155.41
United Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $97.51 / $151.72	Professional		$71.23	$97.51	$151.72
United Facility/Professional Professional Modifier 25 Low / Median / High Price $99.10 / $99.10 / $99.10	Professional	25	$99.10	$99.10	$99.10