Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $118.85 / $147.09	Professional		$67.00	$118.85	$147.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $73.41 / $198.13	Professional		$66.98	$73.41	$198.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.71 / $188.05 / $235.07	Facility		$156.71	$188.05	$235.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.38 / $203.72 / $376.10	Professional		$172.38	$203.72	$376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $71.33 / $71.33	Professional		$71.33	$71.33	$71.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $71.33 / $71.33	Professional		$71.33	$71.33	$71.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $69.35 / $87.44	Professional		$48.24	$69.35	$87.44
United Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $74.14 / $95.98	Professional		$49.42	$74.14	$95.98