Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.28 / $278.95 / $433.30	Facility		$113.28	$278.95	$433.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $113.28 / $314.92	Professional		$113.28	$113.28	$314.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.35 / $112.35 / $112.35	Professional		$112.35	$112.35	$112.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $171.82 / $312.05	Facility		$104.66	$171.82	$312.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $127.44 / $220.87	Professional		$116.25	$127.44	$220.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $189.37	Professional		$120.36	$120.36	$189.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $96.72 / $232.85 / $563.21	Facility		$96.72	$232.85	$563.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $189.37	Professional		$120.36	$120.36	$189.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $50.00	Professional		$40.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $127.63	Professional		$118.00	$118.00	$127.63