Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $109.29 / $145.99	Professional		$60.05	$109.29	$145.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.51 / $65.79 / $177.56	Professional		$54.51	$65.79	$177.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.25 / $176.70 / $220.88	Facility		$147.25	$176.70	$220.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.97 / $191.43 / $353.40	Professional		$161.97	$191.43	$353.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Professional		$63.92	$63.92	$63.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Professional		$63.92	$63.92	$63.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $70.21 / $84.83	Professional		$46.80	$70.21	$84.83
United Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $67.92 / $89.58	Professional		$44.29	$67.92	$89.58