Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $87.10 / $117.83	Professional		$68.95	$87.10	$117.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $106.02 / $178.24	Professional		$78.67	$106.02	$178.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $129.41	Professional		$129.41	$129.41	$129.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $104.94 / $194.19	Professional		$73.00	$104.94	$194.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $103.00 / $178.41	Professional		$73.00	$103.00	$178.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $102.82 / $148.80	Professional		$78.68	$102.82	$148.80
Optum Facility/Professional Professional Modifier Low / Median / High Price $200.02 / $200.02 / $231.55	Professional		$200.02	$200.02	$231.55
United Facility/Professional Professional Modifier Low / Median / High Price $88.23 / $130.09 / $247.82	Professional		$88.23	$130.09	$247.82