Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $371.54	Professional		$123.03	$169.82	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $109.65 / $131.83	Professional		$107.15	$109.65	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $208.93	Professional		$95.50	$125.89	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $251.19	Professional		$104.71	$154.88	$251.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $239.88	Professional		$104.71	$151.36	$239.88
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 $123.03 / $144.54 / $234.42	Professional		$123.03	$144.54	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $234.42	Professional		$89.13	$131.83	$234.42