Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.94 / $124.52 / $328.73	Professional		$120.94	$124.52	$328.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.01 / $158.31 / $270.58	Professional		$105.01	$158.31	$270.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $111.54 / $125.84	Professional		$14.31	$111.54	$125.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.84 / $173.67 / $257.76	Professional		$125.84	$173.67	$257.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $125.84 / $177.32 / $257.76	Professional		$125.84	$177.32	$257.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $119.08 / $159.68	Professional		$90.49	$119.08	$159.68
United Facility/Professional Professional Modifier Low / Median / High Price $114.71 / $154.44 / $254.88	Professional		$114.71	$154.44	$254.88