Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.72 / $1,291.18 / $2,573.05	Professional		$379.72	$1,291.18	$2,573.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.48 / $1,317.51 / $4,183.09	Professional		$473.48	$1,317.51	$4,183.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,198.18 / $1,313.58 / $1,313.58	Professional		$1,198.18	$1,313.58	$1,313.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.57 / $1,194.16 / $3,285.05	Professional		$396.57	$1,194.16	$3,285.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $405.19 / $1,312.67 / $3,397.64	Professional		$405.19	$1,312.67	$3,397.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.39 / $1,113.22 / $1,816.82	Professional		$109.39	$1,113.22	$1,816.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,409.11 / $2,187.94 / $3,533.80	Professional		$1,409.11	$2,187.94	$3,533.80