Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.69 / $167.28 / $562.50	Professional		$122.69	$167.28	$562.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.88 / $111.09 / $148.19	Professional		$91.88	$111.09	$148.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.71 / $231.54 / $368.89	Professional		$142.71	$231.54	$368.89
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $109.78 / $143.81 / $143.81	Professional		$109.78	$143.81	$143.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $142.71 / $243.56	Professional		$109.91	$142.71	$243.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.35 / $169.06 / $300.69	Professional		$120.35	$169.06	$300.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $119.36 / $168.31 / $278.01	Professional		$119.36	$168.31	$278.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.57 / $106.31 / $150.50	Professional		$79.57	$106.31	$150.50
United Facility/Professional Professional Modifier Low / Median / High Price $111.30 / $150.04 / $249.18	Professional		$111.30	$150.04	$249.18