Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.11 / $161.93 / $348.38	Professional		$123.11	$161.93	$348.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $107.77 / $113.16	Professional		$90.20	$107.77	$113.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.88 / $242.55 / $392.56	Professional		$139.88	$242.55	$392.56
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $107.77 / $107.77 / $107.77	Professional		$107.77	$107.77	$107.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.08 / $140.10 / $238.60	Professional		$108.08	$140.10	$238.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.38 / $173.56 / $306.32	Professional		$118.38	$173.56	$306.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.26 / $169.19 / $279.39	Professional		$117.26	$169.19	$279.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.57 / $106.53 / $150.50	Professional		$79.57	$106.53	$150.50
United Facility/Professional Professional Modifier Low / Median / High Price $113.33 / $157.30 / $262.54	Professional		$113.33	$157.30	$262.54