Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.70 / $238.66 / $288.77	Professional		$120.70	$238.66	$288.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $153.28 / $428.31	Professional		$130.29	$153.28	$428.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $428.32 / $535.40	Facility		$356.93	$428.32	$535.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $361.38 / $464.01 / $856.63	Professional		$361.38	$464.01	$856.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $128.49 / $128.49	Professional		$128.49	$128.49	$128.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $128.49 / $128.49	Professional		$128.49	$128.49	$128.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.68 / $156.23 / $196.99	Professional		$108.68	$156.23	$196.99
United Facility/Professional Professional Modifier Low / Median / High Price $89.03 / $160.78 / $211.43	Professional		$89.03	$160.78	$211.43