Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $92.63 / $148.81	Professional		$92.63	$92.63	$148.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.47 / $130.97 / $200.21	Professional		$112.47	$130.97	$200.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.42 / $97.42 / $104.17	Professional		$97.42	$97.42	$104.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $89.28 / $89.28	Professional		$89.28	$89.28	$89.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $89.28 / $89.28	Professional		$89.28	$89.28	$89.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.21 / $108.74 / $150.62	Professional		$78.21	$108.74	$150.62
United Facility/Professional Professional Modifier Low / Median / High Price $99.09 / $145.38 / $208.60	Professional		$99.09	$145.38	$208.60