Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.21 / $224.00 / $231.00	Facility		$199.21	$224.00	$231.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.06 / $178.26 / $219.05	Professional		$157.06	$178.26	$219.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $206.17 / $206.17	Professional		$53.64	$206.17	$206.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $53.13 / $161.71	Professional		$37.97	$53.13	$161.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.17 / $237.10 / $309.26	Facility		$206.17	$237.10	$309.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $272.25 / $272.25 / $272.25	Professional		$272.25	$272.25	$272.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Professional		$45.05	$45.05	$45.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Professional		$45.05	$45.05	$45.05
Optum Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $219.05 / $292.06	Professional		$161.71	$219.05	$292.06
United Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $161.71 / $292.06	Professional		$161.71	$161.71	$292.06