Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $95.50 / $223.87	Professional		$54.95	$95.50	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $120.23	Professional		$61.66	$72.44	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $194.98	Professional		$89.13	$131.83	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $194.98	Professional		$81.28	$100.00	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $186.21	Professional		$67.61	$100.00	$186.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $177.83	Professional		$67.61	$97.72	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $190.55	Professional		$77.62	$104.71	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $144.54	Professional		$53.70	$87.10	$144.54