Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $263.03	Professional		$141.25	$169.82	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $436.52	Professional		$165.96	$275.42	$436.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $165.96	Professional		$144.54	$144.54	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $380.19	Professional		$138.04	$204.17	$380.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $338.84	Professional		$134.90	$199.53	$338.84
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 $134.90 / $158.49 / $302.00	Professional		$134.90	$158.49	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $269.15	Professional		$125.89	$173.78	$269.15