Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $109.42 / $188.64	Professional		$82.88	$109.42	$188.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $35.58 / $103.03	Professional		$18.36	$35.58	$103.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.68 / $116.96 / $116.96	Professional		$110.68	$116.96	$116.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $127.59 / $226.00	Professional		$85.47	$127.59	$226.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $127.59 / $227.54	Professional		$85.47	$127.59	$227.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $145.68 / $208.72	Professional		$103.95	$145.68	$208.72
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $107.19 / $200.72	Professional		$75.03	$107.19	$200.72