Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $140.97 / $407.83	Facility		$90.00	$140.97	$407.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $154.50 / $392.97	Professional		$112.40	$154.50	$392.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $130.41 / $203.75	Professional		$110.14	$130.41	$203.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $143.52 / $225.53	Professional		$112.96	$143.52	$225.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.60 / $155.47 / $192.45	Facility		$127.60	$155.47	$192.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.57 / $174.92 / $299.50	Professional		$129.57	$174.92	$299.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.57 / $157.57 / $157.57	Facility		$157.57	$157.57	$157.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.05 / $185.54 / $289.27	Professional		$136.05	$185.54	$289.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $142.37 / $180.35 / $289.27	Professional		$142.37	$180.35	$289.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $139.15 / $192.06	Professional		$94.71	$139.15	$192.06
Optum Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $139.62 / $185.29	Professional		$132.63	$139.62	$185.29
United Facility/Professional Professional Modifier Low / Median / High Price $134.27 / $181.45 / $286.83	Professional		$134.27	$181.45	$286.83