Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $147.91	Professional		$81.28	$100.00	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $144.54	Professional		$81.28	$102.33	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $245.47	Professional		$109.65	$123.03	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $117.49	Professional		$93.33	$93.33	$117.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
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 $89.13 / $104.71 / $177.83	Professional		$89.13	$104.71	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $186.21	Professional		$81.28	$109.65	$186.21