Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $78.89 / $153.21	Professional		$56.47	$78.89	$153.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.51 / $77.51 / $77.51	Professional		$77.51	$77.51	$77.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $30.53 / $93.49	Professional		$23.97	$30.53	$93.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.01 / $87.31 / $110.61	Professional		$79.01	$87.31	$110.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $81.70 / $141.41	Professional		$53.41	$81.70	$141.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $82.55 / $138.99	Professional		$53.95	$82.55	$138.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.46 / $109.69 / $159.79	Professional		$76.46	$109.69	$159.79
United Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $62.01 / $124.17	Professional		$28.93	$62.01	$124.17