Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.26 / $324.00 / $467.00	Facility		$251.26	$324.00	$467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.60 / $225.97 / $273.64	Professional		$203.60	$225.97	$273.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $221.04 / $234.05 / $260.05	Professional		$221.04	$234.05	$260.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $53.13 / $207.49	Professional		$37.97	$53.13	$207.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $260.05 / $299.06 / $390.08	Facility		$260.05	$299.06	$390.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $344.63 / $344.63 / $344.63	Professional		$344.63	$344.63	$344.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Professional		$65.81	$65.81	$65.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Professional		$65.81	$65.81	$65.81
Optum Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $276.70 / $368.95	Professional		$207.49	$276.70	$368.95
United Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $368.95	Professional		$207.49	$207.49	$368.95