Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $1,258.93 / $3,235.94	Professional		$181.97	$1,258.93	$3,235.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $1,023.29 / $2,041.74	Professional		$177.83	$1,023.29	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $1,047.13 / $2,137.96	Professional		$190.55	$1,047.13	$2,137.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $1,071.52 / $2,137.96	Professional		$194.98	$1,071.52	$2,137.96
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 $173.78 / $467.74 / $2,187.76	Professional		$173.78	$467.74	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $870.96 / $2,344.23	Professional		$186.21	$870.96	$2,344.23