Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $108.90 / $128.71	Professional		$56.44	$108.90	$128.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $63.02 / $176.07	Professional		$57.71	$63.02	$176.07
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $146.72 / $146.72	Professional		$146.72	$146.72	$146.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.72 / $176.08 / $220.10	Facility		$146.72	$176.08	$220.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.40 / $190.75 / $352.15	Professional		$161.40	$190.75	$352.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $60.08 / $60.08	Professional		$60.08	$60.08	$60.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $60.08 / $60.08	Professional		$60.08	$60.08	$60.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $84.24 / $101.79	Professional		$56.16	$84.24	$101.79
United Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $67.69 / $89.86	Professional		$41.63	$67.69	$89.86