Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $131.83 / $194.98	Facility		$128.82	$131.83	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $208.93	Professional		$128.82	$194.98	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $10.47 / $14.13	Professional		$5.37	$10.47	$14.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.76 / $16.22	Professional		$5.13	$6.76	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $28.18	Professional		$22.91	$22.91	$28.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26