Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $371.54	Professional		$89.13	$165.96	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $295.12	Professional		$123.03	$181.97	$295.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $107.15	Professional		$93.33	$93.33	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $323.59	Professional		$97.72	$181.97	$323.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $316.23	Professional		$97.72	$181.97	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $87.10	Professional		$32.36	$33.11	$87.10
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $190.55 / $354.81	Professional		$85.11	$190.55	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $245.47	Professional		$85.11	$144.54	$245.47