Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $218.78 / $645.65	Professional		$109.65	$218.78	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $234.42 / $436.52	Professional		$123.03	$234.42	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $398.11	Professional		$102.33	$199.53	$398.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $380.19	Professional		$102.33	$199.53	$380.19
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 $75.86 / $173.78 / $323.59	Professional		$75.86	$173.78	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $190.55 / $354.81	Professional		$97.72	$190.55	$354.81