Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $109.94 / $293.50	Facility		$97.00	$109.94	$293.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $98.16 / $164.00	Professional		$70.97	$98.16	$164.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Professional		$98.16	$98.16	$98.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.01 / $171.44 / $281.72	Facility		$106.01	$171.44	$281.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $87.95 / $153.91	Professional		$87.95	$87.95	$153.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $98.16 / $134.79	Facility		$83.49	$98.16	$134.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $98.16 / $132.52	Professional		$83.49	$98.16	$132.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $103.33	Professional		$96.58	$96.58	$103.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $103.33	Professional		$96.58	$96.58	$103.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $137.42 / $196.32	Professional		$107.97	$137.42	$196.32
United Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $103.33 / $127.00	Professional		$93.25	$103.33	$127.00