Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.65 / $50.25 / $149.03	Facility		$9.65	$50.25	$149.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $30.71 / $65.70	Professional		$13.99	$30.71	$65.70
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.00 / $128.00 / $128.00	Professional	25	$128.00	$128.00	$128.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $51.10 / $60.95	Professional		$34.54	$51.10	$60.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $38.19 / $63.38	Professional		$18.42	$38.19	$63.38
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $40.63 / $46.72	Professional		$34.54	$40.63	$46.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $20.47 / $25.52	Facility		$17.01	$20.47	$25.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $52.82 / $66.91	Professional		$40.63	$52.82	$66.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $24.21 / $24.21	Facility		$24.21	$24.21	$24.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $39.88	Professional		$39.88	$39.88	$39.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $24.21 / $24.21	Facility		$24.21	$24.21	$24.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $43.28	Professional		$39.88	$39.88	$43.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $35.36 / $50.72	Professional		$26.07	$35.36	$50.72
United Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $47.36 / $72.91	Professional		$32.17	$47.36	$72.91