Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $776.25	Professional		$57.54	$91.20	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $66.07	Professional		$44.67	$53.70	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $151.36	Professional		$66.07	$93.33	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $125.89	Professional		$57.54	$95.50	$125.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $218.78	Professional		$57.54	$102.33	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $144.54	Professional		$64.57	$85.11	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $141.25	Professional		$63.10	$85.11	$141.25