Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $208.93 / $263.03	Professional		$97.72	$208.93	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $302.00	Professional		$120.23	$177.83	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $407.38	Professional		$389.05	$389.05	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $331.13	Professional		$144.54	$239.88	$331.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $407.38	Professional		$208.93	$245.47	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $144.54	Professional		$79.43	$117.49	$144.54