Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $6,918.31	Professional		$870.96	$1,174.90	$6,918.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $776.25 / $1,122.02	Professional		$741.31	$776.25	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $3,019.95	Professional		$1,202.26	$1,995.26	$3,019.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $2,089.30	Professional		$870.96	$1,071.52	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,778.28 / $2,951.21	Professional		$831.76	$1,778.28	$2,951.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,818.38 / $2,951.21	Professional		$1,479.11	$2,818.38	$2,951.21
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 $933.25 / $1,096.48 / $2,344.23	Professional		$933.25	$1,096.48	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $2,238.72	Professional		$912.01	$1,348.96	$2,238.72