Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $98.06 / $285.00	Facility		$69.34	$98.06	$285.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $124.00 / $185.73	Professional		$76.90	$124.00	$185.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.72 / $93.79 / $200.16	Professional		$79.72	$93.79	$200.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $115.36 / $180.59	Professional		$85.32	$115.36	$180.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.36 / $112.55 / $139.31	Facility		$92.36	$112.55	$139.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.79 / $126.62 / $217.29	Professional		$93.79	$126.62	$217.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.69 / $113.69 / $113.69	Facility		$113.69	$113.69	$113.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.48 / $130.09 / $200.98	Professional		$98.48	$130.09	$200.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $132.99 / $209.09	Professional		$99.00	$132.99	$209.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $97.03 / $127.23	Professional		$68.16	$97.03	$127.23
Optum Facility/Professional Professional Modifier Low / Median / High Price $95.29 / $100.31 / $134.12	Professional		$95.29	$100.31	$134.12
United Facility/Professional Professional Modifier Low / Median / High Price $94.35 / $126.62 / $203.84	Professional		$94.35	$126.62	$203.84