Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $243.30 / $357.36	Professional		$174.52	$243.30	$357.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.86 / $250.69 / $425.59	Professional		$178.86	$250.69	$425.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $260.07 / $288.67 / $288.67	Professional		$260.07	$288.67	$288.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.38 / $294.85 / $479.82	Professional		$180.38	$294.85	$479.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $199.75 / $306.60 / $472.65	Professional		$199.75	$306.60	$472.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.04 / $272.89 / $393.45	Professional		$203.04	$272.89	$393.45
United Facility/Professional Professional Modifier Low / Median / High Price $226.87 / $298.83 / $562.87	Professional		$226.87	$298.83	$562.87