Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $82.65 / $98.05	Professional		$75.02	$82.65	$98.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.41 / $97.18 / $159.32	Professional		$73.41	$97.18	$159.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $86.35 / $109.90	Professional		$86.35	$86.35	$109.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $109.90 / $233.88	Professional		$81.53	$109.90	$233.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $108.24 / $164.26	Professional		$82.19	$108.24	$164.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $106.74 / $148.80	Professional		$80.97	$106.74	$148.80
United Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $116.43 / $198.45	Professional		$77.56	$116.43	$198.45