Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $549.54 / $32,359.37	Facility		$162.18	$549.54	$32,359.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $173.78	Professional		$162.18	$169.82	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $323.59 / $891.25	Facility		$181.97	$323.59	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $316.23	Professional		$169.82	$213.80	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $204.17	Professional		$173.78	$173.78	$204.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $173.78 / $173.78	Facility		$138.04	$173.78	$173.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $204.17	Professional		$173.78	$173.78	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $295.12	Professional		$181.97	$223.87	$295.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $371.54	Professional		$186.21	$208.93	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $204.17 / $218.78	Professional		$194.98	$204.17	$218.78