Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.00 / $383.00 / $543.00	Facility		$181.00	$383.00	$543.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $238.00 / $238.00 / $238.00	Facility		$238.00	$238.00	$238.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $173.00 / $262.00	Facility		$150.00	$173.00	$262.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.00 / $248.00 / $304.00	Facility		$179.00	$248.00	$304.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $179.00 / $248.00 / $304.00	Facility		$179.00	$248.00	$304.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $257.00 / $487.00	Facility		$187.00	$257.00	$487.00