Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $186.46 / $234.93	Professional		$101.95	$186.46	$234.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.25 / $111.70 / $301.47	Professional		$104.25	$111.70	$301.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.23 / $301.48 / $376.85	Facility		$251.23	$301.48	$376.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $276.35 / $326.60 / $602.95	Professional		$276.35	$326.60	$602.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $108.53 / $108.53	Professional		$108.53	$108.53	$108.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $108.53 / $108.53	Professional		$108.53	$108.53	$108.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.59 / $140.38 / $169.63	Professional		$93.59	$140.38	$169.63
United Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $116.81 / $151.07	Professional		$75.20	$116.81	$151.07