Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $75.86 / $102.33	Facility		$57.54	$75.86	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $89.13	Professional		$57.54	$70.79	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $107.15	Professional		$77.62	$83.18	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $128.82	Professional		$58.88	$81.28	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $70.79 / $85.11	Facility		$46.77	$70.79	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $134.90	Professional		$69.18	$91.20	$134.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $151.36	Professional		$69.18	$93.33	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $169.82	Professional		$67.61	$89.13	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $141.25	Professional		$66.07	$93.33	$141.25