Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $794.33 / $1,412.54	Facility		$398.11	$794.33	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $676.08 / $1,819.70	Professional		$380.19	$676.08	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $346.74 / $758.58	Professional		$316.23	$346.74	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $812.83	Professional		$436.52	$549.54	$812.83
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $831.76	Professional		$575.44	$575.44	$831.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $977.24	Professional		$398.11	$549.54	$977.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $912.01	Professional		$398.11	$562.34	$912.01
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 $436.52 / $537.03 / $954.99	Professional		$436.52	$537.03	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $794.33	Professional		$316.23	$457.09	$794.33