Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.56 / $121.56 / $147.93	Facility		$121.56	$121.56	$147.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $122.42 / $147.93	Professional		$99.11	$122.42	$147.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $80.06 / $99.20	Professional		$59.50	$80.06	$99.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $400.44 / $400.44 / $400.44	Facility		$400.44	$400.44	$400.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00