Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.19 / $84.19 / $153.29	Facility		$84.19	$84.19	$153.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $84.95 / $125.20	Professional		$60.04	$84.95	$125.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $40.00	Professional		$30.00	$40.00	$40.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $99.29 / $158.81	Professional		$76.50	$99.29	$158.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43,749.56 / $57,049.43 / $61,249.39	Facility		$43,749.56	$57,049.43	$61,249.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $202.00 / $211.64	Professional		$202.00	$202.00	$211.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $202.00 / $211.64	Professional		$202.00	$202.00	$211.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $233.00 / $233.00 / $233.00	Facility		$233.00	$233.00	$233.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.37 / $52.37 / $52.37	Professional		$52.37	$52.37	$52.37