Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.92 / $149.36 / $216.89	Professional		$120.92	$149.36	$216.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.89 / $120.89 / $120.89	Professional		$120.89	$120.89	$120.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.31 / $201.85 / $323.87	Professional		$136.31	$201.85	$323.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.96 / $136.32 / $232.50	Professional		$104.96	$136.32	$232.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.35 / $162.54 / $274.79	Professional		$115.35	$162.54	$274.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $116.84 / $163.94 / $260.60	Professional		$116.84	$163.94	$260.60
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 $111.79 / $152.58 / $253.68	Professional		$111.79	$152.58	$253.68