Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $218.40 / $327.44	Professional		$176.00	$218.40	$327.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $150.47 / $150.47	Professional		$150.47	$150.47	$150.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.56 / $241.93 / $429.35	Professional		$180.56	$241.93	$429.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.52 / $188.09 / $235.15	Professional		$165.52	$188.09	$235.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.83 / $243.50 / $448.10	Professional		$159.83	$243.50	$448.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $159.83 / $238.07 / $421.31	Professional		$159.83	$238.07	$421.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $172.74 / $249.05	Professional		$129.44	$172.74	$249.05
United Facility/Professional Professional Modifier Low / Median / High Price $163.35 / $241.93 / $414.61	Professional		$163.35	$241.93	$414.61