Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.28 / $161.99 / $196.72	Professional		$86.28	$161.99	$196.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $95.07 / $261.91	Professional		$88.22	$95.07	$261.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.26 / $261.91 / $327.39	Facility		$218.26	$261.91	$327.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $240.09 / $283.74 / $523.82	Professional		$240.09	$283.74	$523.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $91.84 / $91.84	Professional		$91.84	$91.84	$91.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $91.84 / $91.84	Professional		$91.84	$91.84	$91.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $105.30 / $127.23	Professional		$70.20	$105.30	$127.23
United Facility/Professional Professional Modifier Low / Median / High Price $63.64 / $101.48 / $132.79	Professional		$63.64	$101.48	$132.79