Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $630.96	Professional		$190.55	$316.23	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $389.05	Professional		$177.83	$239.88	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $575.44	Professional		$213.80	$338.84	$575.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $588.84	Professional		$213.80	$338.84	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $512.86	Professional		$186.21	$338.84	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $524.81	Professional		$169.82	$295.12	$524.81