Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $489.78	Professional		$131.83	$177.83	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $199.53	Professional		$141.25	$186.21	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $288.40	Professional		$114.82	$162.18	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $316.23	Professional		$147.91	$208.93	$316.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $331.13	Professional		$147.91	$208.93	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $100.00	Professional		$32.36	$33.11	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $338.84	Professional		$131.83	$199.53	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $295.12	Professional		$125.89	$173.78	$295.12