Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.63 / $240.63 / $274.81	Facility		$240.63	$240.63	$274.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.63 / $265.14 / $358.26	Professional		$240.63	$265.14	$358.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $15.60 / $15.60	Professional		$15.60	$15.60	$15.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $309.80 / $481.11	Professional		$61.95	$309.80	$481.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $53.19 / $67.69	Facility		$41.47	$53.19	$67.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $56.02 / $96.48	Professional		$35.10	$56.02	$96.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $417.07	Facility		$64.00	$64.00	$417.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $61.57 / $61.57	Professional		$61.57	$61.57	$61.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $61.57 / $102.05	Professional		$21.73	$61.57	$102.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $44.00 / $57.68	Professional		$32.00	$44.00	$57.68
United Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $25.66 / $43.89	Professional		$15.45	$25.66	$43.89