Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $107.84 / $463.00	Professional		$73.14	$107.84	$463.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.98 / $58.98 / $58.98	Professional		$58.98	$58.98	$58.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $94.02 / $173.37	Professional		$75.20	$94.02	$173.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $82.45 / $141.49	Professional		$65.30	$82.45	$141.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $108.38 / $222.64	Professional		$71.41	$108.38	$222.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.03 / $104.64 / $217.21	Professional		$71.03	$104.64	$217.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.97 / $67.77 / $98.95	Professional		$50.97	$67.77	$98.95
United Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $108.62 / $194.94	Professional		$71.89	$108.62	$194.94