Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $275.42	Professional		$114.82	$151.36	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $154.88	Professional		$85.11	$109.65	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $338.84	Professional		$158.49	$204.17	$338.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $151.36	Professional		$104.71	$120.23	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $302.00	Professional		$117.49	$169.82	$302.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $275.42	Professional		$114.82	$162.18	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $309.03	Professional		$138.04	$162.18	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $218.78	Professional		$109.65	$147.91	$218.78