Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $549.54	Professional		$109.65	$144.54	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $117.49 / $173.78	Professional		$114.82	$117.49	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $269.15	Professional		$138.04	$181.97	$269.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $177.83	Professional		$131.83	$165.96	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $302.00	Professional		$120.23	$162.18	$302.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $269.15	Professional		$120.23	$162.18	$269.15
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 $144.54 / $169.82 / $295.12	Professional		$144.54	$169.82	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $223.87	Professional		$97.72	$131.83	$223.87