Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.42 / $63.22 / $216.84	Facility		$47.42	$63.22	$216.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $63.22 / $98.35	Professional		$47.42	$63.22	$98.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $64.87 / $64.87	Professional		$64.87	$64.87	$64.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $59.81 / $96.71	Professional		$49.52	$59.81	$96.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.24 / $77.27 / $113.36	Facility		$57.24	$77.27	$113.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.27 / $51.27 / $83.95	Professional		$51.27	$51.27	$83.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $83.16 / $123.48	Professional		$65.95	$83.16	$123.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $93.43 / $123.48	Professional		$65.95	$93.43	$123.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.10 / $101.83 / $127.11	Professional		$79.10	$101.83	$127.11
United Facility/Professional Professional Modifier Low / Median / High Price $56.95 / $78.59 / $118.02	Professional		$56.95	$78.59	$118.02