Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $676.08	Professional		$61.66	$109.65	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $87.10	Professional		$52.48	$61.66	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $186.21	Professional		$74.13	$114.82	$186.21
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $123.03	Professional		$54.95	$54.95	$123.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $125.89	Professional		$54.95	$67.61	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $154.88	Professional		$58.88	$85.11	$154.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $138.04	Professional		$57.54	$81.28	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $50.12	Professional		$32.36	$33.11	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $144.54	Professional		$64.57	$75.86	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $112.20	Professional		$52.48	$70.79	$112.20