Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.61 / $22.61 / $227.00	Facility		$22.61	$22.61	$227.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $23.35 / $28.36	Professional		$15.42	$23.35	$28.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Professional		$22.00	$22.00	$22.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $39.39 / $65.65	Professional		$26.20	$39.39	$65.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.31 / $336.60 / $742.50	Facility		$24.31	$336.60	$742.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $378.68 / $668.25	Professional		$25.25	$378.68	$668.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.08 / $29.08 / $29.08	Facility		$29.08	$29.08	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $112.26 / $128.71	Professional		$34.86	$112.26	$128.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $34.86 / $34.86	Professional		$34.86	$34.86	$34.86
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 $20.54 / $29.42 / $48.05	Professional		$20.54	$29.42	$48.05