Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.32 / $144.01 / $465.51	Professional		$129.32	$144.01	$465.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.96 / $187.20 / $303.39	Professional		$144.96	$187.20	$303.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.31 / $135.31 / $157.99	Professional		$135.31	$135.31	$157.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.79 / $207.65 / $340.61	Professional		$126.79	$207.65	$340.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.62 / $338.37	Professional		$144.54	$223.62	$338.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.14 / $135.25 / $164.89	Professional		$112.14	$135.25	$164.89
United Facility/Professional Professional Modifier Low / Median / High Price $136.76 / $189.65 / $316.05	Professional		$136.76	$189.65	$316.05