Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $123.03	Professional		$45.71	$72.44	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $87.10	Professional		$42.66	$56.23	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $138.04	Professional		$52.48	$83.18	$138.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $141.25	Professional		$52.48	$83.18	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $85.11 / $128.82	Professional		$45.71	$85.11	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $69.18 / $117.49	Professional		$41.69	$69.18	$117.49