Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $158.26 / $180.63	Professional		$81.48	$158.26	$180.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.65 / $95.87 / $267.91	Professional		$82.65	$95.87	$267.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.26 / $267.91 / $334.89	Facility		$223.26	$267.91	$334.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $244.00 / $290.24 / $535.82	Professional		$244.00	$290.24	$535.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $86.76 / $86.76	Professional		$86.76	$86.76	$86.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $86.76 / $86.76	Professional		$86.76	$86.76	$86.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $135.61 / $163.86	Professional		$90.40	$135.61	$163.86
United Facility/Professional Professional Modifier Low / Median / High Price $60.11 / $104.83 / $135.16	Professional		$60.11	$104.83	$135.16