Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $154.88 / $158.49	Facility		$117.49	$154.88	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $229.09	Professional		$120.23	$169.82	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $331.13	Professional		$144.54	$177.83	$331.13
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $165.96 / $165.96 / $169.82	Professional	25	$165.96	$165.96	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $426.58	Professional		$162.18	$208.93	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $354.81	Professional		$186.21	$245.47	$354.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $204.17 / $316.23	Professional		$199.53	$204.17	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $123.03	Professional		$32.36	$33.11	$123.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $338.84	Professional		$173.78	$213.80	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $346.74	Professional		$158.49	$223.87	$346.74