Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $93.64 / $387.00	Professional		$65.41	$93.64	$387.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $32.59 / $37.58 / $50.22	Professional	52	$32.59	$37.58	$50.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $66.84 / $103.62	Professional		$61.98	$66.84	$103.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $98.06 / $179.00	Professional		$76.53	$98.06	$179.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $86.91 / $150.75	Professional		$69.56	$86.91	$150.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $101.22 / $180.65	Professional		$66.84	$101.22	$180.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $96.71 / $166.70	Professional		$66.48	$96.71	$166.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $70.93 / $100.66	Professional		$53.47	$70.93	$100.66
United Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $90.08 / $154.79	Professional		$58.26	$90.08	$154.79