Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.53 / $34.53 / $350.00	Facility		$34.53	$34.53	$350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $34.53 / $36.83	Professional		$21.71	$34.53	$36.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $33.58 / $33.58	Professional		$33.58	$33.58	$33.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.32 / $75.63 / $126.05	Professional		$59.32	$75.63	$126.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $513.78 / $1,133.33	Facility		$37.10	$513.78	$1,133.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $578.00 / $1,020.00	Professional		$38.53	$578.00	$1,020.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $41.01 / $41.01	Facility		$41.01	$41.01	$41.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.59 / $51.20 / $171.50	Professional		$46.59	$51.20	$171.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $49.16 / $49.16	Professional		$49.16	$49.16	$49.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $60.00	Professional		$35.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $2,934.00 / $6,111.00	Facility		$1,480.00	$2,934.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $37.82 / $60.65	Professional		$25.87	$37.82	$60.65