Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $81.96 / $106.20	Professional		$44.57	$81.96	$106.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.97 / $48.18 / $130.07	Professional		$44.97	$48.18	$130.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.43 / $132.52 / $165.65	Facility		$110.43	$132.52	$165.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.47 / $143.56 / $265.02	Professional		$121.47	$143.56	$265.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $46.82 / $46.82	Professional		$46.82	$46.82	$46.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $46.82 / $46.82	Professional		$46.82	$46.82	$46.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $41.60 / $52.46	Professional		$28.94	$41.60	$52.46
United Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $51.86 / $67.18	Professional		$32.44	$51.86	$67.18