Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $151.36 / $371.54	Facility		$125.89	$151.36	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $169.82	Professional		$125.89	$125.89	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.07	Facility		$0.02	$0.02	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $141.25 / $234.42	Professional		$134.90	$141.25	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $218.78	Professional		$87.10	$87.10	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $251.19	Professional		$138.04	$177.83	$251.19
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $177.83	Professional		$141.25	$147.91	$177.83