Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.17 / $61.23 / $220.87	Facility		$55.17	$61.23	$220.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $64.92 / $105.58	Professional		$55.17	$64.92	$105.58
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $56.87 / $104.60 / $245.55	Professional	25	$56.87	$104.60	$245.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.66 / $93.66 / $93.66	Professional		$93.66	$93.66	$93.66
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $56.86 / $56.86 / $56.86	Professional	25	$56.86	$56.86	$56.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $39.40 / $82.28	Professional		$27.76	$39.40	$82.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $75.91 / $99.36	Facility		$66.90	$75.91	$99.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $73.91 / $83.99	Professional		$73.91	$73.91	$83.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $94.80 / $94.80	Facility		$94.80	$94.80	$94.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $83.99 / $145.47	Professional		$66.90	$83.99	$145.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $94.80 / $94.80	Facility		$94.80	$94.80	$94.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $85.08 / $143.16	Professional		$67.19	$85.08	$143.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $73.55 / $102.04	Professional		$54.68	$73.55	$102.04
United Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $83.77 / $130.55	Professional		$60.92	$83.77	$130.55
United Facility/Professional Professional Modifier 25 Low / Median / High Price $94.07 / $94.07 / $94.07	Professional	25	$94.07	$94.07	$94.07