Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $161.91 / $220.37	Professional		$95.63	$161.91	$220.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $100.44 / $276.00	Professional		$91.31	$100.44	$276.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.64 / $255.17 / $318.95	Facility		$212.64	$255.17	$318.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $233.90 / $276.43 / $510.34	Professional		$233.90	$276.43	$510.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $101.80 / $101.80	Professional		$101.80	$101.80	$101.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $101.80 / $101.80	Professional		$101.80	$101.80	$101.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.36 / $104.02 / $131.16	Professional		$72.36	$104.02	$131.16
United Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $105.14 / $130.22	Professional		$70.54	$105.14	$130.22