Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $316.23	Facility		$245.47	$245.47	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $316.23	Professional		$141.25	$245.47	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $234.42	Professional		$75.86	$75.86	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $354.81 / $524.81	Facility		$331.13	$354.81	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $457.09	Professional		$147.91	$186.21	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $239.88	Professional		$151.36	$151.36	$239.88
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $676.08	Professional		$288.40	$371.54	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $338.84 / $338.84	Facility		$269.15	$338.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $251.19 / $416.87	Professional		$109.65	$251.19	$416.87