Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $91.20 / $194.98	Facility		$67.61	$91.20	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $154.88	Professional		$54.95	$70.79	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $120.23 / $123.03	Professional		$63.10	$120.23	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $114.82	Professional		$64.57	$79.43	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $144.54	Professional		$63.10	$77.62	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $147.91	Professional		$58.88	$81.28	$147.91