Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.49 / $263.10 / $446.31	Professional		$133.49	$263.10	$446.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $198.42 / $387.48	Professional		$118.92	$198.42	$387.48
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $178.38 / $295.61 / $571.35	Professional	50	$178.38	$295.61	$571.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $270.77 / $270.77 / $480.00	Professional		$270.77	$270.77	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.91 / $260.00 / $462.00	Professional		$151.91	$260.00	$462.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $157.21 / $279.89 / $475.60	Professional		$157.21	$279.89	$475.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.80 / $307.49 / $419.54	Professional		$225.80	$307.49	$419.54
United Facility/Professional Professional Modifier Low / Median / High Price $226.19 / $332.30 / $537.74	Professional		$226.19	$332.30	$537.74