Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $127.47 / $222.92	Professional		$119.58	$127.47	$222.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.15 / $113.69 / $198.95	Professional		$85.15	$113.69	$198.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $125.65 / $146.57	Professional		$115.16	$125.65	$146.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $154.09 / $252.57	Professional		$109.55	$154.09	$252.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $150.87 / $234.35	Professional		$109.55	$150.87	$234.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.94 / $135.54 / $197.97	Professional		$101.94	$135.54	$197.97
United Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $141.76 / $265.38	Professional		$97.10	$141.76	$265.38