Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $1,288.25	Facility		$158.49	$549.54	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $912.01	Professional		$467.74	$660.69	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,778.28	Professional		$933.25	$1,174.90	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,862.09	Professional		$1,202.26	$1,202.26	$1,862.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $512.86 / $1,047.13	Facility		$64.57	$512.86	$1,047.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,862.09	Professional		$1,202.26	$1,202.26	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,122.02 / $2,089.30	Professional		$60.26	$1,122.02	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $933.25	Professional		$891.25	$891.25	$933.25