Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $177.83 / $436.52	Professional		$39.81	$177.83	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $102.33 / $112.20	Professional		$38.02	$102.33	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $234.42	Professional		$38.02	$47.86	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $467.74	Professional		$204.17	$234.42	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $275.42 / $707.95	Professional		$104.71	$275.42	$707.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $269.15 / $478.63	Professional		$104.71	$269.15	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $446.68	Professional		$234.42	$275.42	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $186.21	Professional		$32.36	$48.98	$186.21