Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $144.54	Professional		$91.20	$102.33	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $158.49	Professional		$70.79	$97.72	$158.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $245.47	Professional		$91.20	$125.89	$245.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $204.17	Professional		$95.50	$125.89	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $165.96	Professional		$93.33	$120.23	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $208.93	Professional		$72.44	$109.65	$208.93