Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $209.28 / $381.58	Professional		$132.13	$209.28	$381.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $137.16 / $277.10	Professional		$71.13	$137.16	$277.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $228.45 / $228.45 / $404.97	Professional		$228.45	$228.45	$404.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $249.21 / $409.85	Professional		$143.94	$249.21	$409.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $160.10 / $256.86 / $418.71	Professional		$160.10	$256.86	$418.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $203.90 / $313.81	Professional		$36.09	$203.90	$313.81
United Facility/Professional Professional Modifier Low / Median / High Price $193.18 / $280.37 / $461.86	Professional		$193.18	$280.37	$461.86