Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.79 / $130.79 / $157.19	Facility		$130.79	$130.79	$157.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $130.08 / $130.79	Professional		$118.13	$130.08	$130.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $112.00 / $194.14	Professional		$112.00	$112.00	$194.14
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 $13.17 / $13.17 / $13.17	Professional		$13.17	$13.17	$13.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $13.17 / $13.17	Professional		$13.17	$13.17	$13.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00