Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.73 / $98.73 / $116.13	Facility		$98.73	$98.73	$116.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $96.10 / $179.92	Professional		$69.12	$96.10	$179.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $64.00 / $85.61	Professional		$45.41	$64.00	$85.61
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 $298.49 / $298.49 / $298.49	Facility		$298.49	$298.49	$298.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $20.93 / $20.93	Professional		$20.93	$20.93	$20.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $20.93 / $20.93	Professional		$20.93	$20.93	$20.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00