Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.59 / $144.99 / $255.09	Professional		$99.59	$144.99	$255.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $88.01 / $155.18	Professional		$58.31	$88.01	$155.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.60 / $160.36 / $204.09	Professional		$116.60	$160.36	$204.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.36 / $175.23 / $274.52	Professional		$124.36	$175.23	$274.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $126.49 / $178.92 / $266.39	Professional		$126.49	$178.92	$266.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $143.14 / $213.44	Professional		$93.48	$143.14	$213.44
United Facility/Professional Professional Modifier Low / Median / High Price $120.85 / $185.93 / $316.64	Professional		$120.85	$185.93	$316.64