Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.37 / $75.20 / $331.47	Facility		$68.37	$75.20	$331.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $95.25 / $335.00	Professional		$68.37	$95.25	$335.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $83.16 / $84.77	Professional		$83.16	$83.16	$84.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.30 / $107.09 / $172.95	Professional		$59.30	$107.09	$172.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.37 / $83.16 / $112.27	Facility		$62.37	$83.16	$112.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.33 / $115.58 / $188.01	Professional		$84.33	$115.58	$188.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $114.46 / $185.52	Professional		$87.43	$114.46	$185.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $104.14 / $144.52	Professional		$80.33	$104.14	$144.52
United Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $115.56 / $189.41	Professional		$88.34	$115.56	$189.41