Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.51 / $248.00 / $255.00	Facility		$130.51	$248.00	$255.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $142.26 / $142.26	Professional		$110.15	$142.26	$142.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $62.75 / $62.75	Professional		$62.75	$62.75	$62.75
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 $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $216.00 / $216.00	Professional		$216.00	$216.00	$216.00