Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $142.80 / $409.36	Facility		$51.74	$142.80	$409.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $52.13 / $148.43	Professional		$32.26	$52.13	$148.43
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $217.68 / $217.68 / $217.68	Professional	25	$217.68	$217.68	$217.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $54.66 / $71.51	Professional		$51.08	$54.66	$71.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $34.95 / $66.40	Professional		$26.89	$34.95	$66.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.08 / $61.30 / $75.87	Facility		$51.08	$61.30	$75.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $66.40 / $84.12	Professional		$51.08	$66.40	$84.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Professional		$48.80	$48.80	$48.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $42.54 / $61.58 / $101.72	Facility		$42.54	$61.58	$101.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $52.00	Professional		$48.80	$48.80	$52.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $74.78 / $102.84	Professional		$54.98	$74.78	$102.84
United Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $57.40 / $113.07	Professional		$29.41	$57.40	$113.07